{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Pamela R Fleming","gend":1,"currentgend":"","add":"52 APPALACHIAN TRL","city":"BUCKSPORT","state":"ME","zip":"04416","dob":"1956-08-20","age":"","mstatus":"","insh":"10000086878","cliId":"","pno":2077459297,"cno":"","email":"","ename":"","eno":"","pphy":"PATTEN, JOHN L","ppno":2078620300,"pcpadd":"St Joseph Family Medicine Hampden,21 Western Ave","pcpcity":"Hampden","pcpstate":"ME","pcpzip":"04444","pcpcounty":"","pcpid":"","pcpname":"ST JOSEPH FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 1766","madd2":"","madd3":"","mcity":"BUCKSPORT","mstate":"ME","mzip":"04416","pcpfaxno":2077778800,"pcpnpi":1669577938,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8X19H92FF54","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F4322","R1310","M546","R0600","M25511","R059","R7303","Z1231","Z0000","I10","K219","I491","I493","R400","M722","M5127","M47817","M4316","I1A0","Z780","M85852","R0789","R600","E039","J329","I701","Z08","R079","R002","R001","N281","K429","R911","M25562","M1712","M47814","M75121","M24111","I728","Z853","K769","I4891","R0609","F324","R5383","R151","R319","S46011A","G8918","B079","K635","Z923","F411","S199XXA","S0990XA","M79621","M7989","W19XXXA","L989","D229","D509","K6389","K648","R159","G44229","I517","J069","B001","W0110XA","Y9289","Y990","M75111","M7551","M7521","Z20822","Z0101","H524","R69","J40","G4483","R509","R0602","L814","L821","Z23","B078","R1312","C50919","M51369","M47816","M4317"],"date":["2025-06-10","2025-06-20","2025-05-22","2023-03-29","2025-04-19","2023-01-06","2025-07-15","2024-10-07","2025-01-06","2025-03-19","2025-06-20","2024-05-31","2024-05-31","2024-03-28","2025-08-26","2025-01-18","2025-01-18","2025-01-18","2025-07-15","2023-06-29","2023-06-29","2024-04-25","2024-01-25","2022-12-23","2023-01-27","2025-04-24","2023-02-08","2024-02-13","2024-04-25","2024-04-27","2023-03-29","2023-03-29","2023-03-29","2024-01-02","2024-01-02","2024-01-02","2025-08-07","2025-04-19","2025-03-04","2023-02-08","2023-02-08","2024-04-25","2024-08-02","2025-02-19","2025-02-10","2025-02-10","2024-09-03","2025-08-07","2025-08-07","2024-07-31","2025-02-24","2023-01-30","2025-02-19","2024-12-07","2024-12-07","2024-12-07","2024-12-07","2024-12-07","2024-07-31","2025-04-09","2025-03-18","2025-02-24","2025-02-24","2025-02-24","2023-11-27","2024-06-26","2025-03-24","2025-03-24","2024-12-07","2024-12-07","2024-12-07","2025-08-07","2025-08-07","2025-08-07","2023-01-27","2024-04-02","2024-04-02","2023-01-27","2023-01-27","2025-03-24","2023-01-06","2024-03-11","2025-04-09","2025-04-09","2023-09-28","2024-07-31","2025-05-22","2023-03-28","2025-01-06","2025-01-06","2025-01-06"],"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":[]},{"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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}