{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Craig W Dunn","gend":0,"currentgend":"","add":"1859 NORTH RD","city":"MOUNT VERNON","state":"ME","zip":"04352","dob":"1954-10-07","age":"","mstatus":"","insh":"10000098056","cliId":"","pno":2074854959,"cno":"","email":"cdunn759@hotmail.com","ename":"","eno":"","pphy":"THORP, LYDIA A","ppno":2075243501,"pcpadd":"180 CHURCH HILL RD STE 1,","pcpcity":"LEEDS","pcpstate":"ME","pcpzip":"42633418","pcpcounty":"","pcpid":"","pcpname":"DFD RUSSELL MEDICAL CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1859 NORTH RD","madd2":"","madd3":"","mcity":"MOUNT VERNON","mstate":"ME","mzip":"04352","pcpfaxno":2075242093,"pcpnpi":1801875018,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2EX2XT2MY26","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N1832","E782","E119","D490","N281","R809","Z125","Z0101","Z471","K7689","E785","Z9081","H04123","L814","D225","L821","Z08","I10","R801","Z0000","Z96652","M25462","M25562","G4733","I480","M170","I4819","E11319","Z1211","K635","D123","K5730","M47816","M5450","M5134","N179","R9389","M174","G8918","C44311","D3A8","M109","M1711","Z01818","I129","Z8507","Z90411","S61211A","X58XXXA","Z7901","D485","L570","Z01812","R6889","Z7984","M25461","U071"],"date":["2025-11-11","2024-11-04","2025-11-12","2025-04-25","2025-04-18","2025-03-11","2024-11-05","2025-07-08","2024-08-06","2025-04-18","2024-08-28","2025-04-18","2025-07-08","2025-03-12","2025-03-12","2025-03-12","2025-03-12","2025-08-06","2025-08-06","2023-10-18","2024-09-12","2024-02-22","2025-10-16","2025-09-15","2023-07-24","2024-01-04","2025-07-28","2023-07-21","2024-04-10","2024-04-10","2024-04-10","2024-04-10","2024-06-13","2024-07-16","2024-06-13","2025-06-02","2025-07-22","2023-12-13","2023-12-13","2023-04-13","2025-03-17","2023-11-01","2024-06-13","2023-11-30","2025-09-26","2023-11-30","2023-11-30","2023-05-15","2023-05-15","2023-05-15","2023-03-09","2025-03-12","2023-11-13","2023-10-28","2022-11-15","2022-11-15","2022-09-01"],"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":[["","","ELIQUIS","","","Select","Select",""],["","","HYDRALAZINE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","FLUAD 2025-2026","","","Select","Select",""],["","","MOUNJARO","","","Select","Select",""],["","","GLIPIZIDE ER","","","Select","Select",""],["","","DOXAZOSIN MESYLATE","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","BASAGLAR KWIKPEN U-100","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","NANO 2ND GEN PEN NEEDLE","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","BEXSERO","","","Select","Select",""],["","","MENQUADFI","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","CELECOXIB","","","Select","Select",""],["","","JANUVIA","","","Select","Select",""],["","","SCOPOLAMINE","","","Select","Select",""],["","","LANTUS SOLOSTAR","","","Select","Select",""],["","","OZEMPIC","","","Select","Select",""],["","","FLUAD TRIVALENT 2024-2025","","","Select","Select",""],["","","PIOGLITAZONE HCL","","","Select","Select",""],["","","PEG 3350-ELECTROLYTE","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2023-24","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","BOOSTRIX TDAP","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","FLUAD QUAD 2022-2023","","","Select","Select",""],["","","MODERNA COVID BIVAL(6MO UP)EUA","","","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":""}]}]}