{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Karen Ryla","gend":1,"currentgend":"","add":"13 COMMISSARY POINT RD","city":"LUBEC","state":"ME","zip":"04652","dob":"1957-09-02","age":"","mstatus":"","insh":"10000098792","cliId":"","pno":6306055853,"cno":"","email":"KARENRYLA@GMAIL.COM","ename":"","eno":"","pphy":"QUINN, JENNIFER L","ppno":2072552772,"pcpadd":"110 STONE ST,","pcpcity":"ONEIDA","pcpstate":"NY","pcpzip":"13421213","pcpcounty":"","pcpid":"","pcpname":"DOWN EAST HEALTH CENTER","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"13 COMMISSARY POINT RD","madd2":"","madd3":"","mcity":"LUBEC","mstate":"ME","mzip":"04652","pcpfaxno":"","pcpnpi":1952670069,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6A74U36AW63","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J849","M21612","M21611","F4312","H2512","Z0000","R399","N390","M5416","M4807","M67442","N6323","R109","R300","M5450","F329","H26491","R233","M71342","B351","S40869A","W57XXXA","M461","D485","M47812","M542","M79603","N6002","R2231","D225","L821","L814","L658","N329","I10","E785","Z23","Z01419","Z86010","Z803","R87810","H26492","H90A32","Z7189","Z87440","J3089","J329","G478","R410","M2010","M79672","M79676","M4316","R2681","Z124","Z8049","M549","M4310","M419","M47816","L538","S00469D","W57XXXD","M5136","M48061","R6889","L810","D2371","N3080","R110","K760","R921","H66011","I2510","Z1231","F419","S40861A","J432","R911","S2241XA","N3010","D124","S8010XA","L03012","I701","L659","Z1151","Z01411","B977","M5442","L905","R87610","M9904","M9905","L570","R0982","L2089","D122","D123","K635","M5117","M4727","H35032","M47819","M2540","R2230","J309","M79671","M6740","M8589","L089","H9209","D414","H2511"],"date":["2024-10-03","2025-01-23","2025-01-23","2023-08-24","2022-10-17","2024-07-02","2025-05-15","2025-08-14","2024-11-22","2024-12-05","2024-07-11","2025-06-27","2025-08-28","2025-08-14","2025-05-23","2024-12-18","2022-11-04","2025-08-15","2024-02-27","2024-02-27","2025-06-23","2025-07-28","2024-08-23","2025-07-02","2025-01-03","2025-01-03","2025-01-03","2025-01-07","2023-07-19","2024-12-19","2024-12-19","2024-12-19","2024-12-19","2023-08-03","2025-01-08","2025-02-11","2022-11-18","2024-10-09","2023-10-04","2024-10-09","2023-10-04","2024-09-20","2024-12-19","2025-07-02","2024-10-09","2024-12-31","2024-12-31","2024-12-31","2024-12-31","2025-01-08","2025-01-09","2025-01-08","2025-06-04","2025-05-23","2024-10-09","2024-10-09","2023-02-28","2023-02-28","2025-01-03","2025-01-03","2025-06-26","2025-06-26","2025-06-26","2023-03-24","2025-03-13","2023-01-06","2025-08-15","2025-08-15","2022-11-14","2025-03-05","2025-03-24","2025-01-07","2024-09-24","2024-12-31","2024-12-30","2025-01-02","2025-07-28","2024-12-31","2024-12-31","2024-12-31","2023-08-25","2024-02-26","2024-02-18","2024-02-18","2023-08-18","2024-09-24","2023-04-04","2023-04-04","2023-04-04","2023-01-28","2024-10-23","2023-04-04","2023-11-07","2023-11-07","2025-07-02","2023-06-13","2023-06-13","2024-02-26","2024-02-26","2024-02-26","2023-01-28","2023-01-28","2023-05-12","2023-02-28","2023-02-28","2023-06-23","2024-09-15","2025-01-09","2024-05-01","2023-06-23","2024-01-26","2024-01-26","2023-08-03","2022-10-01"],"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":[["","","CITALOPRAM HBR","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","FLUAD QUAD 2023-2024","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","COMIRNATY 2024-2025","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","","","Select","Select",""],["","","FLUAD TRIVALENT 2024-2025","","","Select","Select",""],["","","COMIRNATY 2023-2024","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","CIPROFLOXACIN HCL","","","Select","Select",""],["","","FLUAD 2025-2026","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","MUPIROCIN","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","COMIRNATY 2025-2026 (12Y UP)","","","Select","Select",""],["","","MOXIFLOXACIN","","","Select","Select",""],["","","PREDNISOLONE ACETATE","","","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":""}]}]}