{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Phillip G Murray","gend":0,"currentgend":"","add":"71 E VALENTINE ST","city":"WESTBROOK","state":"ME","zip":"04092","dob":"1950-07-25","age":"","mstatus":"","insh":"10000103692","cliId":"","pno":2078386042,"cno":"","email":"philbuilt1@gmail.com","ename":"","eno":"","pphy":"SUBAK KRAH, SARAH","ppno":2077745816,"pcpadd":"100 FODEN ROAD WEST,SUITE 203","pcpcity":"SOUTH PORTLAND","pcpstate":"ME","pcpzip":"04106","pcpcounty":"","pcpid":"","pcpname":"INTERMED","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"71 E VALENTINE ST","madd2":"","madd3":"","mcity":"WESTBROOK","mstate":"ME","mzip":"04092","pcpfaxno":2078741483,"pcpnpi":1780643437,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"9UG9PQ0TH39","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H401131","Z85818","K769","K862","K760","J449","J189","R918","Z23","M9901","M5412","R634","H2512","M5416","M272","Z85810","Y842","H1132","D381","H47233","H906","J479","R509","F17210","S42124D","M7918","Z20822","J984","R059","R82998","F17200","G523","D649","R413","R7982","E871","S4991XA","Z720","R195","K1370","R933","D124","Z0001","S42124A","K529","K648","M9903","M5126","R600","M19011","E038","H401121","F418","M9902","M5414","K869","I10","H903","F32A","M109","E519","R935","R911","Z0000","K820","K8689","R9389"],"date":["2025-06-11","2025-11-13","2023-09-20","2025-09-25","2023-09-20","2025-09-09","2024-09-19","2025-08-20","2025-09-08","2024-03-01","2023-12-20","2025-09-09","2023-01-12","2024-03-01","2025-07-08","2025-11-13","2025-07-08","2025-06-11","2024-09-19","2024-11-26","2025-11-13","2025-08-20","2023-07-26","2025-02-17","2024-01-05","2023-07-03","2023-07-03","2024-09-19","2024-06-03","2023-07-03","2025-11-13","2023-05-23","2025-01-13","2025-01-13","2025-01-13","2025-06-11","2023-12-22","2024-09-19","2023-07-24","2023-07-21","2023-08-08","2023-10-05","2025-01-10","2024-01-03","2023-10-05","2023-10-05","2025-09-11","2025-09-11","2023-12-28","2023-12-28","2025-04-02","2023-01-12","2023-01-12","2025-06-30","2025-06-30","2025-09-09","2025-05-12","2025-11-13","2024-09-19","2024-09-19","2025-04-02","2023-08-07","2024-08-05","2025-01-03","2023-07-26","2023-07-26","2025-08-20"],"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":[["","","IRBESARTAN","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","TOBRAMYCIN-DEXAMETHASONE","","","Select","Select",""],["","","AREXVY","","","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":""}]}]}