{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Edward J Brynga","gend":0,"currentgend":"","add":"20 INDIAN POINT TER","city":"Harpswell","state":"ME","zip":"04079","dob":"1955-02-09","age":"","mstatus":"","insh":"10000079074","cliId":"","pno":2075227590,"cno":"","email":"ebrynga55@gmail.com","ename":"","eno":"","pphy":"KNIGHTON, BRIAN K","ppno":2078653491,"pcpadd":"42 MALLETT DRIVE,","pcpcity":"FREEPORT","pcpstate":"ME","pcpzip":"40326760","pcpcounty":"","pcpid":"","pcpname":"FREEPORT MEDICAL CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"20 INDIAN POINT TER","madd2":"","madd3":"","mcity":"Harpswell","mstate":"ME","mzip":"04079","pcpfaxno":"","pcpnpi":1700824000,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6KN8H18VQ41","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I739","H9193","N401","I71019","R7301","I351","K219","I10","M5412","I7121","I480","Z01818","I71010","R0789","R1013","I71012","R42","Z0101","H35372","I719","Z952","I517","I361","N400","I082","I253","R4182","Z8679","I7100","I3481","K4090","Z09","R21","I771","I6523","E559","D696","R5383","R140","E669","R079","R55","R931","J209","I4891","N281","K7689","I6521","H903","I7772","R0609","I77819","I700","I499","J9811","I088","I422","I77810","Z125","E162","R400","R161","K5730","T7840XA","E785","I83892","H2513","H5201","N433","N503","N50812","R030","R351","N50819","R350","R6889","M9900","M9901","M9902","M542","I7122","R932","N2889","I77811","M549","I7120","I728","H5213","R252","I7111","I7110","F419","N529","A000","Z48812","J90","I71011","K769","R9341","Z0000","F32A","B351","I160","E538","R5382","Z95818"],"date":["2024-12-31","2025-03-03","2025-09-09","2025-06-27","2024-04-03","2024-06-12","2025-08-04","2024-11-19","2024-04-24","2024-10-31","2025-10-21","2024-10-01","2023-06-30","2024-12-16","2024-12-16","2025-06-27","2025-04-08","2025-06-18","2025-06-18","2025-07-18","2025-11-18","2025-11-18","2025-11-18","2025-08-04","2024-01-19","2024-01-19","2024-10-07","2024-12-16","2024-10-31","2024-12-16","2025-08-19","2024-09-20","2024-07-15","2025-06-27","2025-06-27","2025-10-03","2025-10-03","2025-10-03","2025-10-06","2024-11-19","2024-12-16","2025-07-02","2024-03-22","2023-02-10","2024-11-19","2025-06-27","2023-06-30","2025-04-08","2025-11-13","2023-07-01","2023-11-24","2025-11-18","2023-11-24","2024-04-28","2024-05-14","2023-09-28","2023-09-28","2023-03-23","2023-02-22","2024-06-12","2024-06-12","2025-10-06","2025-06-27","2024-07-23","2025-08-04","2025-03-20","2024-02-28","2024-02-28","2023-07-10","2023-07-10","2023-07-10","2023-07-01","2023-01-26","2023-01-26","2023-01-26","2023-02-08","2024-04-25","2024-04-25","2024-04-25","2024-04-25","2024-10-29","2024-09-03","2024-10-29","2024-12-16","2024-12-16","2024-02-02","2024-02-02","2022-12-29","2024-11-14","2024-05-08","2024-05-08","2023-04-28","2023-04-28","2024-04-28","2024-04-28","2024-04-27","2023-08-04","2023-08-04","2023-08-04","2023-03-07","2023-03-07","2023-03-07","2023-06-30","2025-10-06","2025-10-06","2023-09-28"],"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":[["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","ESCITALOPRAM OXALATE","","","Select","Select",""],["","","REPATHA SURECLICK","","","Select","Select",""],["","","MNEXSPIKE 2025-2026 (12Y UP)","","","Select","Select",""],["","","LABETALOL HCL","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","CARVEDILOL","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","TERBINAFINE HCL","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","REPATHA SYRINGE","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","MUPIROCIN","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","FLUZONE HIGH-DOSE TRIV 2024-25","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","EZETIMIBE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","Select","Select",""],["","","AMIODARONE HCL","","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","","","Select","Select",""],["","","FLUAD QUAD 2022-2023","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","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":""}]}]}