{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Deborah J Vanlunen","gend":1,"currentgend":"","add":"359 SOUTH HUNTS MEADOW RD","city":"WHITEFIELD","state":"ME","zip":"04353","dob":"1957-05-11","age":"","mstatus":"","insh":"10000096844","cliId":"","pno":2075490264,"cno":"","email":"vanlunendeborah@gmail.com","ename":"","eno":"","pphy":"LIEGNER, ADAM","ppno":2075826608,"pcpadd":"4 HORTON PL,SUITE 101","pcpcity":"TOPSHAM","pcpstate":"ME","pcpzip":"40861747","pcpcounty":"","pcpid":"","pcpname":"GARDINER FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"359 SOUTH HUNTS MEADOW RD","madd2":"","madd3":"","mcity":"WHITEFIELD","mstate":"ME","mzip":"04353","pcpfaxno":2075822258,"pcpnpi":1265793574,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2N38XK7DY31","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E1122","M25551","Z1231","I129","N1830","Z7984","K639","Z23","Z0001","I959","N184","L304","Z1212","Z1211","Z0100","J8410","R918","I2510","R0789","R0602","R911","I10","R9431","F419","E1165","M79643","R32","M1811","M79641","Z0389","M79644","M65321","M65311","M779","M7600","E119","D122","K5730","H903","H938X2","R42","M5450","Z0000","Z780","M5410"],"date":["2025-06-09","2025-07-02","2024-07-31","2025-02-03","2025-02-03","2025-02-03","2025-02-04","2022-12-09","2024-07-31","2024-09-16","2024-09-16","2024-09-16","2024-09-16","2025-02-04","2024-09-20","2023-09-07","2023-09-07","2023-09-07","2023-12-05","2023-12-05","2023-09-07","2023-12-05","2023-05-17","2023-05-16","2023-08-31","2023-08-31","2025-08-12","2023-08-31","2023-08-31","2023-06-26","2023-06-26","2023-12-28","2023-12-28","2025-01-05","2025-01-05","2023-12-05","2025-02-04","2025-02-04","2022-08-09","2022-08-09","2022-08-09","2022-08-02","2022-07-29","2022-07-12","2022-06-29"],"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":[["","","METFORMIN HCL ER","","","Select","Select",""],["","","GAVILYTE-N","","","Select","Select",""],["","","ABRYSVO","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","DULOXETINE HCL","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","VERAPAMIL ER","","","Select","Select",""],["","","GLIPIZIDE ER","","","Select","Select",""],["","","SIMVASTATIN","","","Select","Select",""],["","","TERBINAFINE HCL","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","VERAPAMIL SR","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","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":{"indx":[["","","",""],[],[""],[""],[],[""],[""]],"comment":[["","","",""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["","","",""],[],[""],[""],[""],[""],[""],[""]],"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":""}]}]}