{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Roger E Mcgee","gend":0,"currentgend":"","add":"53 SARAH LN","city":"WELLS","state":"ME","zip":"04090","dob":"1951-12-29","age":"","mstatus":"","insh":"10000076074","cliId":"","pno":2072160794,"cno":"","email":"rogeremcgee@gmail.com","ename":"","eno":"","pphy":"LEE, WOODROW D","ppno":2072863504,"pcpadd":"57 BARRA RD,SUITE #1","pcpcity":"BIDDEFORD","pcpstate":"ME","pcpzip":"40059446","pcpcounty":"","pcpid":"","pcpname":"SEACOAST MEDICAL CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"53 SARAH LN","madd2":"","madd3":"","mcity":"WELLS","mstate":"ME","mzip":"04090","pcpfaxno":2072863767,"pcpnpi":1902908411,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4JX2XT6KP80","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I350","Z136","E781","K1321","K1329","L83","L988","R7309","I480","D1030","Z1211","Z86010","K5730","D122","K2270","K219","F17200","R4182","B370","Z0101","H5213","H524","H1789","H40013","I483","H2513","Z23","I10","I4892","Z1389","Z0000","E7800","Z1331","I068","K2289","K449","I358","R051","R0989","S61214A","W268XXA","D6832","E786","Z87891","R42","R6889","K4090","Z01812","Z20822","E785"],"date":["2024-04-10","2025-07-07","2023-12-04","2024-03-05","2024-03-05","2023-05-23","2023-05-23","2025-06-30","2024-06-05","2023-05-10","2023-04-03","2023-04-03","2023-04-03","2023-04-03","2024-05-08","2024-05-08","2024-05-08","2024-05-08","2023-05-23","2025-02-27","2025-02-27","2025-02-27","2025-02-27","2025-02-27","2025-01-20","2025-02-27","2025-01-14","2025-01-07","2025-01-14","2025-01-14","2025-01-14","2023-09-07","2025-01-14","2023-03-07","2024-05-08","2024-05-08","2024-04-10","2024-02-26","2024-02-26","2024-08-19","2024-08-19","2024-08-19","2023-09-07","2025-01-29","2022-08-08","2022-07-15","2022-06-15","2022-06-12","2022-06-12","2022-06-15"],"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":[["","","OMEPRAZOLE","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","FENOFIBRATE","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","HYDROCODONE-ACETAMINOPHEN","","","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":""}]}]}