{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Claudia J Getchell","gend":1,"currentgend":"","add":"21 ABIGAIL WAY","city":"SCARBOROUGH","state":"ME","zip":"04074","dob":"1956-10-23","age":"","mstatus":"","insh":"10000089637","cliId":"","pno":2076714241,"cno":"","email":"cjgetchell@yahoo.com","ename":"","eno":"","pphy":"EMERY, PETER","ppno":2077745816,"pcpadd":"100 FODEN RD WEST,STE 203","pcpcity":"SOUTH PORTLAND","pcpstate":"ME","pcpzip":"04106","pcpcounty":"","pcpid":"","pcpname":"INTERMED","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"21 ABIGAIL WAY","madd2":"","madd3":"","mcity":"SCARBOROUGH","mstate":"ME","mzip":"04074","pcpfaxno":2078741483,"pcpnpi":1649239765,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5J63PH8XJ82","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F411","Z6832","R051","M1711","M25561","M25661","G4733","R0789","I2510","Z0001","R350","Z1231","I25118","M76829","I480","R5383","R110","M25562","E6609","Z6831","R002","L932","D84821","E669","R1031","M170","M2578","I4891","Z7901","M79675","M1712","R61","I499","L304","M3219","Z79899","Z23","R6889","R0683","M3210","H2513","H401231","L308","L570","M19072","R300","R202","K641","K594","L2489","H01131","H01134","R748","Z03818","B356","I77810","S83411A","Z6830","R21","L820","M19071","J029","Z0000","R1011","R531","R42","M21079","M19079","M8588","I4710","I498","H04123","H524","M25461","L301","L930","D2372","E559","Z85828","I712","B029","M7989","R000","M25462","R2242","R635","S76312A","M329","M19049"],"date":["2025-07-03","2022-12-14","2024-05-01","2025-08-22","2025-04-16","2023-04-25","2025-04-14","2023-09-08","2023-10-24","2025-08-18","2023-06-20","2025-04-09","2025-07-23","2023-11-06","2025-08-20","2024-08-08","2023-09-07","2025-04-16","2023-08-03","2023-08-03","2023-09-07","2024-04-17","2022-12-14","2023-07-27","2024-12-13","2025-04-16","2023-09-08","2023-12-28","2023-09-08","2025-02-11","2025-07-29","2023-01-25","2023-09-07","2025-01-03","2025-04-28","2025-04-28","2024-11-05","2023-01-01","2024-07-22","2024-08-28","2024-08-28","2025-04-18","2025-07-09","2025-07-09","2025-02-11","2024-02-26","2025-07-09","2025-01-14","2025-01-14","2025-01-14","2023-08-18","2023-08-18","2024-09-09","2024-05-01","2024-02-02","2023-10-24","2023-04-21","2025-04-28","2023-08-03","2024-08-01","2023-11-06","2024-02-14","2023-07-27","2024-12-13","2023-09-07","2023-09-07","2023-11-06","2025-02-11","2025-04-09","2023-11-28","2023-11-28","2023-08-18","2024-02-26","2022-08-29","2022-08-03","2022-08-03","2022-08-03","2022-07-19","2022-06-15","2022-05-26","2022-03-14","2022-03-14","2022-03-18","2022-03-14","2022-03-14","2022-03-01","2022-02-28","2022-01-13","2022-01-13"],"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":[["","","LATANOPROST","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","OPZELURA","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","FLUCONAZOLE","","","Select","Select",""],["","","TACROLIMUS","","","Select","Select",""],["","","OZEMPIC","","","Select","Select",""],["","","DESONIDE","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","HYDROXYCHLOROQUINE SULFATE","","","Select","Select",""],["","","DESOXIMETASONE","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","DILTIAZEM 24HR ER (CD)","","","Select","Select",""],["","","CITALOPRAM HBR","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","DIAZEPAM","","","Select","Select",""],["","","ESTRADIOL","","","Select","Select",""],["","","KETOCONAZOLE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","VALACYCLOVIR","","","Select","Select",""],["","","DEXTROAMPHETAMINE-AMPHETAMINE","","","Select","Select",""],["","","DUPIXENT SYRINGE","","","Select","Select",""],["","","CALCIPOTRIENE","","","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":{"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":{"indx":[[]],"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":""}]}]}