{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"William M Capps","gend":0,"currentgend":"Male","add":"37 Intervale Rd","city":"New Gloucester","state":"ME","zip":"04260","dob":"1955-11-07","age":69,"mstatus":"Married","insh":"10000084661","cliId":"","pno":6174700808,"cno":null,"email":"wmcapps@hotmail.com","ename":"Nancy Capps (wife)","eno":"2072403972","pphy":"Anthony Bustamante","ppno":2078469013,"pcpadd":"Intermed,259 Main St","pcpcity":"Yarmouth","pcpstate":"ME","pcpzip":"04096","pcpcounty":null,"pcpid":"","pcpname":"Intermed","plan":"Martin's Point","program":"Medicare","lob":"GA - 2025","region":"","aligned":"","ano":2079263789,"add2":"","add3":"","madd1":"Po Box 510","madd2":"","madd3":"","mcity":"New Gloucestr","mstate":"ME","mzip":"04260","pcpfaxno":2075238586,"pcpnpi":1306229521,"currentgendcomment":"","pphycomment":"verified with member","uniqueid":"","medicareid":"2WN8D45TE32","medicaidid":"","pcpFlag":0,"evalName":"Candace Hembrick , FNP","evalDate":"2025-01-07 2:30 PM","primaryLanguage":"","race":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["","1","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[true,null,null,null,true],"comment":[null,null,null,null,"virtual visit"],"score":[]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E119","E785","Z125","Z0001","R9720","A419","K5730","K760","N281","R791","R319","E1159","E1165","R509","R079","I10","E8342","R824","C61","Z8546","R0683","M8588","Z09","Z13820","C7951","L918","Z510","Z5111","C775","R202","S61201A","W260XXA","C7952","T66XXXA","R7989","G478","R200","E1142","Z0189","M48061","M5127","M47816","M48062","Z1389","M8589","M4800","M4807","Z01818","M4316","M5416","R5383","R0609","R42","I358","I4510","A6920"],"date":["2022-06-30","2022-11-01","2022-03-15","2024-11-20","2022-04-20","2022-04-28","2022-04-19","2022-04-19","2022-04-19","2022-04-18","2022-04-04","2024-11-13","2023-08-25","2022-04-20","2022-04-20","2023-08-25","2022-04-19","2022-04-19","2024-09-16","2022-04-14","2022-06-16","2022-06-22","2022-06-22","2022-06-22","2022-12-12","2022-06-30","2022-12-13","2023-03-10","2022-10-26","2022-11-01","2022-11-08","2022-11-08","2022-11-15","2022-12-12","2024-10-02","2022-12-01","2023-01-24","2023-01-24","2023-03-24","2023-12-07","2023-03-24","2023-11-16","2023-12-07","2023-03-24","2023-08-23","2023-08-25","2024-03-29","2023-12-01","2023-12-07","2023-12-07","2024-08-05","2024-08-28","2024-08-05","2024-08-14","2024-08-28","2024-08-16"],"priorHcc":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","","1"],"comment":["","","","","","","","","","","","","",""],"sub":[]}}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","","1"],"comment":["","","","","Bachelors Degree in Film"],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","1"],"comment":["","","",""],"sub":[]}},{"a":{"indx":[true,false,false],"comment":["","",""],"score":["","",""],"textValue":""}},{"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":["","","December 7th member fell and broke his elbow and tore cartilage in his ribs ",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["self employed - consultant on building television studios. - Building studios in ABC New York, City ",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["1","",""],"comment":["","",""],"score":[0,0,0,0],"sub":{"indx":[["1",""],["","1"]],"comment":[["",""],["",""]],"sub":[]}}},{"a":{"indx":[true],"comment":[""],"score":[""]}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["1","",""],"comment":["","",""],"sub":{"indx":[["Nancy Capps"],["wife"]],"comment":[[""],[""]],"sub":[]}}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[true,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false,true,false,false,true],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}}]},{"t":"Activities of Daily Living","q":[{"a":[["1","",""],["1","",""],["1","",""],["1","",""],["1","",""],["1","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"index":0,"comment":"","sub":[{"sa0":"Orthopedist","sa1":"Dr. Steven Barr","sa2":"elbow surgery "},{"sa0":"Oncologist","sa1":"Dr. Chowdury - Dana Farber in Boston, MA","sa2":"history of prostate cancer"}]},{"a":[{"indx":["","","1","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","","1","","",""],"comment":["","","","","",""],"sub":{"indx":[["fall and then rib pain "],["1","",""]],"comment":[[""],["","",""]],"sub":{"indx":[[],[[]]],"comment":[[],[[]]],"sub":[]}}},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["","1","","","",""],"comment":["","","","","",""],"sub":{"indx":[["December 14, 2024 elbow surgery "]],"comment":[[""]],"sub":[]}}]},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["back surgery, sepsis "]],"comment":[[""]],"sub":[]}}},{"a":{"indx":["1","","","","1","","","","","","","",""],"comment":["","","","","bilateral legs due to spinal stenosis ","","","","","","","","","bilateral legs due to spinal stenosis "],"sub":[]}},{"a":{"indx":["","","","1","","",""],"comment":["","","","","","","","left elbow"],"sub":[]}}]},{"t":"Family History","q":[{"index":0,"comment":"","sub":[{"sa0":"Father","sa1":"blood cancer","sa2":"blood cancer"},{"sa0":"Mother","sa1":"none","sa2":"old age - 86 years old "},{"sa0":"Sibling1","sa1":"1 brother - none","sa2":"still living"},{"sa0":"Sibling1","sa1":"1 sister - liver cancer","sa2":"liver cancer"}]}]},{"t":"Preventive Care","q":[{"a":[["Not Applicable","N\/A","N\/A",""],["Not Applicable","N\/A","N\/A",""],["Yes","2024","N\/A",true],["No","within the past 5 years","colonoscopy",true],["Yes","2024","N\/A",true],["Yes","2024","N\/A",true],["Yes","2024","N\/A",true],["Yes","2024","N\/A",true],["Yes","2024","N\/A",true],["No","N\/A","N\/A",true],["Yes","2024","N\/A",true],["Yes","2023","DEXA",true],["No","N\/A","N\/A",true],["Yes","2024","N\/A",true],["Yes","2024","N\/A",true],{"comment":""}]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":1,"commentTxt":"","arr":[["",""]]}},{"a":{"comment":"Member was placed on Abiraterone medication when he was being treated for cancer and he is now being titrated off of it.  He was on the Jardiance but he went off of it because it was messing with his stomach and caused him to be dehydrated due to the increase in urine. ","sub":[["Mood\/ Depression during cancer - due to zero testosterone","","VENLAFAXINE HCL ER","75mg","","PO = By Mouth","QD",0],["DMT2","","METFORMIN HCL","1000mg","","PO = By Mouth","BID",0],["urinary retention","","TAMSULOSIN HCL","0.4mg","","PO = By Mouth","QD",0],["HTN","","OLMESARTAN MEDOXOMIL","20mg","","PO = By Mouth","QD",0],["HTN","","AMLODIPINE BESYLATE","10mg","","PO = By Mouth","QD",0]]}},{"a":{"index":0,"commentTxt":"","arr":[["2025-01-07","Calcium","1 tablet","PO = By Mouth","daily"],["2025-01-07","Vitamin D","1 tablet","PO = By Mouth","daily"],["2025-01-07","Vitamin B12","1 tablet","PO = By Mouth","daily"]]}},{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["not very often",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["depends on the medications.  He stated that only has done that with the Jardiance and then he told the doctor after he stopped.  ",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":[true],"comment":[""],"score":[""]}}]},{"t":"Assessment of Diagnoses","q":[{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","1","","","1","",""],"comment":["","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","","1"],"comment":["","",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","1"],"comment":["","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","","1"],"comment":["","",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","1"],"comment":["","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","","","","1"],"comment":["","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,true,true,false,false,false,true,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","","1","","","","","","",""],"comment":["","","","","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["1","","",""],"comment":["Taking Olmesartan Medoxomil and Amlodipine","","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["1","",""],"comment":["","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","","1"],"comment":["","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","","","","","","","1"],"comment":["","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[true,true,true,true,false,true,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","","","1"],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","","1","","","","","","","","","","","","","","","","","","","","","",""],"comment":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","1",""],"comment":["","","","","Member was placed on medications when he had prostate cancer.  He is now titrating it down. ",""],"sub":[[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}],[{"indx":[],"comment":[],"sub":[]}],[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}],{"indx":[],"comment":[],"sub":[]},[{"indx":[null,null,null,null,1],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]]},{"indx":["1","",""],"comment":["Taking Venlafaxine ","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}],"phq":[{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["","1","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["1","","",""],"comment":["","","",""]},{"indx":["","","","","","1"],"comment":["","","","","","",""]},{"indx":["","","","","",true],"comment":[""]}]}]}},{"a":{"indx":[true,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","","1"],"comment":["","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["1","",""],"comment":["","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["overactive bladder during his prostate cancer - Taking Tamsulosin "],"comment":[],"sub":[]}]}]},{"indx":["","","","","1"],"comment":["","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[true,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","1","","","","1","","","","","","1","","1"],"comment":["","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","1"],"comment":["",""],"sub":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","1","","","","","","","","",""],"comment":["triceps pain and limited ROM","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["1",""],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","1"],"comment":["","",""],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["bilateral knees"],"comment":[],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","1"],"comment":["","surgery in 2023 - had bilateral leg numbness "],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["rib cartilage tear\n "],"comment":[],"sub":[]}]}]},{"indx":["","","1","1","",""],"comment":["","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]}]}},{"a":{"indx":[true,false,false,true,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","1","","","","",""],"comment":["","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","1",""],"comment":["","","",""],"sub":[]},{"indx":["1","","","",""],"comment":["","","","",""],"sub":[[{"indx":[1],"comment":["Taking Metformin "],"sub":[]},{"indx":[],"comment":[],"sub":[]}]]},{"indx":["7.2","",""],"comment":[],"sub":[]},{"indx":["3 months","","","","","","",""],"comment":[],"sub":[]},{"indx":["1"],"comment":[],"sub":[]},{"indx":[null,"1"],"comment":[],"sub":[]},{"indx":[null,"1"],"comment":[],"sub":[]},{"indx":[null,null,null,null,null,null,null,null,"1"],"comment":[],"sub":[]},{"indx":[null,null,null,null,null,null,null,null,"1"],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[true,false,false,true,false,true,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":[{"indx":["1",""],"comment":["","",""],"sub":{"indx":[["","1"],["","","","","","","","","","","","","","","","1","","","","",""],[{"text":"malignant neoplasm"}],[{"text":"stage 4"}],["","1"],["","1"],["1",""]],"comment":[["",""],["","","","","","","","","","","","","","","","","","","","",""],[""],[""],["",""],["",""],["",""]],"sub":{"indx":[[],[],[],[],[],[],[[{"text":"Dr. Chawdury "}]]],"comment":[[],[],[],[],[],[],[[""]]],"sub":[]}}}]},{"a":{"indx":[false,false,true,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Pain","q":[{"a":{"indx":["1",""],"comment":["",""],"sub":[[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":{"indx":[["elbow and torn ribs"],["1-2\/10"],["1","",""]],"comment":[[""],[""],["","",""]],"sub":[]}},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["117","70","16","97.8","98","0","78",true,false]},{"a":["6","0","230","31.2",{"txt":""},{"malnutrition":{"indx":["","","","","1"],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","","","1","",""],"comment":["","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"arr":["At least 30 minutes 5 or more days a week."],"comment":["member had to stop exercising due to his fall and elbow fracture"]},{"arr":["I am not interested at this time."],"comment":[]},{"a":{"indx":["","","","","","","","","1"],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Exam Review","q":[{"a":[{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]},{"indx":["",true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]},{"indx":["",true],"comment":["",""],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[""],"comment":["Unable to perform due to virtual visit. "],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,true],"comment":["",""],"sub":[]},{"indx":[true,""],"comment":["member has a steady gait and decreased ROM noted in LUE ",""],"sub":[]},{"indx":[true,""],"comment":["",""],"sub":[]}]},{"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":{"indx":[["1","","","",""],["Screening Technologist"],[""],[""],[""],[""],["Member stated he had prostate cancer surgery 2 1\/2 years ago "]],"comment":[["","","","",""],[""],[""],[""],[""],[""]],"sub":{"indx":[[["","","","","1"]],[],[],[],[],[],[]],"comment":[[["","","","",""]],[],[],[],[],[],[]],"sub":{"indx":[[[[""]]],[],[],[],[],[],[]],"comment":[[[[""]]],[],[],[],[],[],[]],"sub":[]}}}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","1"],["Screening Technician"],["2025-01-08"],["No diabetic retinopathy"],["No diabetic retinopathy"],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":{"indx":[[["1",""]],[],[],[],[],[],[]],"comment":[[["",""]],[],[],[],[],[],[]],"sub":[]}}}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","1","",""],["Screening Technician"],["2025-01-08"],["4218 (m\/s)"],["0.9"],["1.4"],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}}]},{"t":"Mini-Cog","q":[{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":{"data":["","1","","2","2","4"],"indx":[false,false,false,false,false,false,false,false,false,true,false,false,false,false,false,true,false,false],"version":[false,false,false,true,false,false]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["","1","","",""],"comment":["","member slipped and fell on the ice and broke his left elbow and tore rib cartilage.  December 7th and  on December 14th had surgery on the left elbow.   ","","",""],"score":[0,0,0,0],"sub":{"indx":[["","1"],["1",""]],"comment":[["",""],["",""]],"sub":{"indx":[[],[["1",""],["","1"]]],"comment":[[],[["",""],["",""]]],"sub":[]}}}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":["10"]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":[true],"comment":[""],"score":[""]}},{"a":["More physical exercise"]},{"arr":["I am not interested at this time."],"comment":[]},{"a":{"indx":["","","1","","","","","","","",""],"comment":["","","","","","","","","","","","member fractured his elbow and has not been able to exercise."],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"This is a completed audio & video virtual visit performed via Doxy.me on members computer. Verbal consent was received by the patient to conduct this virtual visit. Patient identity was verified by Driver's License, address, and DOB. Palpation, percussion, and auscultation portions of the assessment as well as the Monofilament Test were unable to be performed due to this being a virtual visit. Unable to obtain complete set of VS, during HRA visit, due to virtual visit. Provided counseling for Preventive Health maintenance recommendations. Previously documented conditions on PAF form were reviewed. Any conditions NOT identified in the HRA are considered resolved or are unable to be confirmed.  Member advised to contact member services using the number on the back of insurance card with any plan questions or services needed.  ","a2":"2025-01-07T14:30","a3":"2025-01-07T15:30","a4":"","a5":"true","a6":"","a7":[{"date":"2025-01-11T00:04:07.744Z","signature":"data:image\/png;base64,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"}],"a8":"","a9":"Virtual","a10":[],"a11":"true","a12":"true","a13":"true","a15":[],"a14":"","a16":"true","a18":"true","a17":"Driver's License"}]}]}