{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Kim M Achorn","gend":1,"currentgend":"","add":"16 AUTUMN LN","city":"BREWER","state":"ME","zip":"04412","dob":"1957-07-12","age":"","mstatus":"","insh":"10000099839","cliId":"","pno":2077453011,"cno":"","email":"kmachorn@gmail.com","ename":"","eno":"","pphy":"PARADIS, KENDRA M","ppno":"","pcpadd":"C\/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT,PO BOX 7291","pcpcity":"LEWISTON","pcpstate":"ME","pcpzip":"42437291","pcpcounty":"","pcpid":"","pcpname":"ST JOSEPH FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"16 AUTUMN LN","madd2":"","madd3":"","mcity":"BREWER","mstate":"ME","mzip":"04412","pcpfaxno":2077774397,"pcpnpi":1588012314,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3JA8FN2VN29","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I70219","Q2739","G4733","Z1231","Z124","B3732","M160","N952","N3091","R1011","I6521","K641","K449","K2970","D509","D649","E611","I10","E785","M25552","E7801","L820","D485","D1801","L821","L814","L728","R208","L538","Z0000","I7389","Z09","Z1272","H2513","H43391","M85852","K7689","R29898","R42","Z0100","I517","I4510","R5383","R0602","M6281","I2089","H8112","Z720","Z08","Z85828","F17200","M48062","M5126","M5136","M47817","I6523","Z8279","K259","M25551","R7309","Z98890","R9431","L298","M4316","D225","I70211","L858","I509","M4307","I700","R6889","G8929","I259","R9439","M5418","M5417","I739","Z780","D2371","L2089","I6529","I771","R0989"],"date":["2025-08-28","2023-05-23","2025-09-09","2025-04-17","2025-01-23","2025-01-23","2024-12-17","2022-12-06","2025-01-23","2023-09-20","2024-04-23","2023-05-25","2023-05-25","2023-05-25","2023-05-25","2023-07-18","2023-05-26","2025-08-26","2023-05-26","2024-12-17","2025-06-12","2025-10-28","2025-10-28","2025-10-28","2025-10-28","2025-10-28","2025-10-28","2025-10-28","2025-10-28","2025-10-02","2023-06-27","2023-06-12","2025-01-23","2023-06-02","2023-06-02","2025-04-17","2023-09-20","2023-06-12","2024-05-01","2025-01-08","2023-06-15","2025-07-04","2023-06-27","2023-06-27","2023-08-24","2025-06-13","2023-08-10","2023-08-10","2023-07-20","2023-07-20","2024-01-11","2024-02-01","2024-02-01","2024-02-01","2024-02-01","2023-04-06","2023-04-06","2023-03-29","2024-02-01","2023-03-29","2025-05-06","2023-05-25","2023-05-11","2024-05-17","2024-01-11","2025-01-31","2025-01-16","2023-05-23","2024-05-17","2025-01-31","2023-01-18","2023-08-07","2024-06-12","2024-06-12","2024-07-10","2024-07-10","2023-04-18","2025-04-17","2022-11-09","2022-11-09","2022-10-06","2022-10-04","2022-10-04"],"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":""}]}]}