{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Joseph J Phillips","gend":0,"currentgend":"","add":"1 SCAMMON RD","city":"GREENVILLE","state":"ME","zip":"04441","dob":"1950-08-03","age":"","mstatus":"","insh":"10000094898","cliId":"","pno":2072800724,"cno":"","email":"noemail@noemail.com","ename":"","eno":"","pphy":"MCLAUGHLIN, SCOTT A","ppno":2079476141,"pcpadd":"43 WHITING HILL RD,300","pcpcity":"BREWER","pcpstate":"ME","pcpzip":"44121005","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT PRIMARY CARE SANGERVILLE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1 SCAMMON RD","madd2":"","madd3":"","mcity":"GREENVILLE","mstate":"ME","mzip":"04441","pcpfaxno":2079476720,"pcpnpi":1841220431,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5CK7WK9PA76","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R778","C61","N189","M25511","D128","B0239","D649","N1830","Z87891","Z8042","D225","L821","L814","L400","Z8719","N200","N281","H527","H2513","K50118","Z4802","Z8546","F17210","Z0101","K5090","K648","K621","K862","Z0000","Z98890","C4441","C7951","Z5111","H2000","K633","K529","D485","R195","Z980","K5730","R6889","K5000","B029","L820","R208","Z789","R9720","Z4789","N3289"],"date":["2025-05-21","2025-08-14","2025-06-09","2023-05-08","2022-12-09","2022-11-30","2025-05-22","2025-05-22","2025-05-22","2025-05-22","2025-01-22","2025-01-22","2025-01-22","2025-01-22","2022-12-09","2025-06-09","2025-06-09","2023-04-05","2023-04-05","2022-11-16","2024-02-01","2023-11-06","2023-11-06","2024-04-17","2022-12-09","2022-12-09","2022-12-09","2023-02-09","2025-09-09","2022-10-10","2024-01-16","2022-12-07","2023-03-01","2023-02-03","2022-11-16","2022-11-16","2023-12-06","2022-11-16","2022-11-16","2022-11-16","2023-04-05","2023-02-09","2022-10-05","2025-01-22","2025-01-22","2025-01-22","2022-09-13","2022-07-22","2022-07-18"],"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":[]}},{"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":""}]}]}