{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Richard T Murphy","gend":0,"currentgend":"","add":"26 YOHO CIR","city":"Limerick","state":"ME","zip":"04048","dob":"1956-11-28","age":"","mstatus":"","insh":"10000089188","cliId":"","pno":2074239992,"cno":"","email":"gilliespop@aol.com","ename":"","eno":"","pphy":"ADAMS, TODD","ppno":2076468386,"pcpadd":"York Hospital Internal Medicine of York,277 Post Rd","pcpcity":"Moody","pcpstate":"ME","pcpzip":"04054","pcpcounty":"","pcpid":"","pcpname":"WEBHANNET INTERNAL MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"26 YOHO CIR","madd2":"","madd3":"","mcity":"Limerick","mstate":"ME","mzip":"04048","pcpfaxno":2076412855,"pcpnpi":1427165778,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1W02F35JV95","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K648","H903","M5416","R0602","S2242XA","S270XXA","N179","I959","W108XXA","I7140","I10","Z0000","Z1211","M48062","M47816","J9811","R079","H6991","S3991XA","Z860101","Z538","E279","M48061","S2241XA","Z0101","S2242XD","N401","J209","B309","R072","K640","G5713","K5900","D62","E8770","M25531","J90","J948","J939","I7143","K449","S299XXA","Z125","R110","Z860100","K625","M1711","Z0189","K649","Z86010","H9201","K635","K5730","K2971","N3281","G629","J329","K3189","D122","G5601","G5602","G5711","M25561","G5781","N35914","G5782"],"date":["2025-08-11","2024-08-21","2025-09-16","2025-03-09","2025-03-12","2025-03-12","2025-03-08","2025-03-08","2025-03-12","2025-04-21","2025-09-24","2024-07-17","2025-06-23","2025-09-16","2025-09-16","2025-03-12","2025-03-05","2024-01-25","2024-08-06","2025-06-23","2025-06-03","2023-03-31","2023-07-24","2024-08-06","2024-12-11","2025-04-01","2025-09-19","2025-08-21","2024-12-27","2024-07-30","2025-05-23","2023-09-22","2025-03-11","2025-03-11","2025-03-10","2025-09-09","2025-03-12","2025-03-08","2025-03-08","2025-03-05","2025-06-23","2025-03-12","2023-07-06","2025-06-23","2025-06-23","2024-07-22","2023-06-14","2023-06-14","2025-10-16","2024-05-07","2024-08-21","2025-06-23","2025-06-23","2025-06-23","2025-09-04","2024-06-07","2025-04-18","2025-06-23","2025-06-23","2025-09-09","2025-09-09","2023-11-03","2022-12-05","2022-11-22","2022-09-28","2022-09-29"],"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":[["","","ZOLPIDEM TARTRATE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","CLINDAMYCIN HCL","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","DULOXETINE HCL","","","Select","Select",""],["","","TERAZOSIN HCL","","","Select","Select",""],["","","ONDANSETRON HCL","","","Select","Select",""],["","","METHYLPHENIDATE HCL","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","CARVEDILOL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","METHOCARBAMOL","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","LOVASTATIN","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","TROSPIUM CHLORIDE ER","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","DIAZEPAM","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","Select","Select",""],["","","COMIRNATY 2025-2026 (12Y UP)","","","Select","Select",""],["","","MNEXSPIKE 2025-2026 (12Y UP)","","","Select","Select",""],["","","FLUAD 2025-2026","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","Select","Select",""],["","","FLUZONE HIGH-DOSE TRIV 2024-25","","","Select","Select",""],["","","FLUAD TRIVALENT 2024-2025","","","Select","Select",""],["","","FLUAD QUAD 2023-2024","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","COMIRNATY 2023-2024","","","Select","Select",""],["","","FLUCELVAX QUAD 2022-2023","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","Select","Select",""],["","","MYRBETRIQ","","","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":""}]}]}