{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michael E Dunbar","gend":0,"currentgend":"","add":"330 EASTERN AVE","city":"BREWER","state":"ME","zip":"04412","dob":"1952-12-24","age":"","mstatus":"","insh":"10000075293","cliId":"","pno":2072996654,"cno":"","email":"declined@121224.com","ename":"","eno":"","pphy":"LUNDQUIST, BRYAN J","ppno":"","pcpadd":"PO BOX 7291,","pcpcity":"LEWISTON","pcpstate":"ME","pcpzip":"42437291","pcpcounty":"","pcpid":"","pcpname":"ST JOSEPH FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"330 EASTERN AVE","madd2":"","madd3":"","mcity":"BREWER","mstate":"ME","mzip":"04412","pcpfaxno":2077778800,"pcpnpi":1558302273,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3T10QJ8NF14","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I444","R000","M80051D","M25551","S72141A","W19XXXA","M25561","S8002XA","S7291XD","I2699","M1711","M19011","L2084","M25531","M24231","R262","F411","I517","M25559","Z743","S72001A","R109","Z711","Z8781","M159","R52","R296","Z0101","I129","N1830","M170","M1812","M19042","M79645","R7989","S72001D","G629","M5442","R269","F5104","M25562","R531","Z79899","Z20822","M47816","M4316","K219","M5450","F331","Z0001","J309","I10","S81801A","W208XXA","W19XXXS","Z7982","S82831D","M62830","R319","Z0000","G8929","M76821","N529","R413","G4701","M2550","M19012","R600","K621","M5127","M5137","M47817","M4317","Z1211","Z86010","K5730","M5136","J9811","R350","R410","R5383","N189","J208","B9689","R4182"],"date":["2024-06-18","2024-06-20","2024-10-21","2024-06-28","2024-06-15","2024-06-15","2024-04-02","2024-04-02","2024-07-16","2024-06-21","2024-04-05","2023-12-16","2023-04-28","2023-04-28","2023-04-28","2023-04-28","2024-12-23","2024-06-19","2024-06-21","2024-06-21","2024-07-23","2024-07-08","2024-07-10","2024-09-04","2024-05-07","2024-06-15","2024-06-15","2025-09-29","2024-09-12","2024-09-12","2024-04-05","2025-07-29","2025-07-29","2025-07-29","2025-11-17","2024-07-01","2023-04-04","2023-04-04","2023-07-14","2023-12-26","2022-12-01","2023-02-10","2023-02-10","2023-02-10","2023-02-10","2023-02-10","2025-03-24","2023-08-07","2023-03-16","2023-03-16","2025-03-24","2023-08-08","2023-07-29","2023-07-29","2023-01-10","2023-01-10","2023-12-08","2023-05-12","2024-09-20","2025-11-03","2023-05-30","2023-05-30","2023-06-19","2023-06-19","2023-08-07","2023-05-12","2023-11-14","2022-11-18","2022-10-18","2022-10-12","2022-10-12","2022-10-12","2022-10-12","2022-10-18","2022-10-18","2022-10-18","2022-10-12","2022-09-11","2022-09-27","2022-09-11","2022-09-11","2022-09-11","2022-09-20","2022-09-20","2022-09-11"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":{"comment":"","sub":[["","","MELOXICAM","","","Select","Select",""],["","","BUSPIRONE HCL","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","ALENDRONATE SODIUM","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","CITALOPRAM HBR","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","FLUZONE HIGH-DOSE TRIV 2024-25","","","Select","Select",""],["","","SPIKEVAX 2024-2025","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","ALFUZOSIN HCL ER","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","AMITRIPTYLINE HCL","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","CLONAZEPAM","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","VENLAFAXINE HCL ER","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","MIRABEGRON ER","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE ER","","","Select","Select",""],["","","FLUOCINOLONE ACETONIDE","","","Select","Select",""],["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","ZOLPIDEM TARTRATE","","","Select","Select",""],["","","BELSOMRA","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","MIRTAZAPINE","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","COMIRNATY 2023-2024","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2022-23","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""]]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Assessment of Diagnoses","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Screenings Needed","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]},{"a":[]},{"a":[]}]},{"t":"Home Safety & Personal Goals","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a8":"","a9":"","a10":[],"a11":"","a12":"","a13":""}]}]}