{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Scott A Morrell","gend":0,"currentgend":"","add":"760 US RTE !","city":"ROBBINSTON","state":"ME","zip":"04671","dob":"1958-01-16","age":"","mstatus":"","insh":"10000104445","cliId":"","pno":2072140267,"cno":"","email":"scottmorrell31@gmail.com","ename":"","eno":"","pphy":"INCANNELLA, ELIZABETH M","ppno":2074548195,"pcpadd":"CCH Family Medicine,37 Palmer St Ste 3","pcpcity":"Calais","pcpstate":"ME","pcpzip":"04619","pcpcounty":"","pcpid":"","pcpname":"CCH FAMILY MEDICINE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 71","madd2":"","madd3":"","mcity":"ROBBINSTON","mstate":"ME","mzip":"04671","pcpfaxno":2074543840,"pcpnpi":1275145393,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8EU9MT5WA14","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D801","I517","D509","E291","B351","N1831","I10","G4733","G20","R0609","I428","I951","E1122","G20A1","R6889","R519","G4739","C184","L600","E1140","I2510","I440","I422","I5030","I080","E559","H25813","H35411","H04123","Z1211","E785","F419","J449","N1832","G4731","N401","R809","D649","Z85038","Z980","R42","E871","R7989","G20C","D469","R509","F331","N281","R7303","N189","N2889","R4789","Z9481","E089","N179","H8301","Z9484","R5383","E119","M546","M48062","M4802","M48061","R030","Z743","Z888","R443","F32A"],"date":["2023-11-08","2023-10-09","2025-08-08","2025-07-30","2025-07-21","2025-08-08","2025-05-28","2025-05-09","2023-09-14","2023-10-09","2023-09-18","2023-09-18","2023-07-20","2025-07-25","2024-07-05","2023-10-02","2025-08-26","2025-07-15","2025-03-13","2025-05-21","2023-10-09","2023-10-09","2023-10-09","2023-10-09","2023-10-09","2023-10-25","2023-05-23","2023-05-23","2023-05-23","2025-06-12","2025-06-12","2025-06-12","2025-06-12","2024-02-20","2025-05-09","2024-09-06","2025-01-24","2025-01-24","2025-06-12","2025-06-12","2025-04-14","2024-07-19","2023-02-06","2024-06-13","2024-11-25","2023-01-24","2023-05-10","2024-08-15","2024-05-09","2023-03-02","2023-02-14","2025-01-10","2024-05-21","2024-05-21","2024-05-21","2025-01-05","2023-04-21","2024-11-26","2025-04-09","2024-07-24","2024-07-24","2024-07-24","2024-07-24","2025-04-14","2025-04-14","2025-04-14","2025-02-04","2023-05-03"],"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":[["","","LISINOPRIL","","","Select","Select",""],["","","CLONAZEPAM","","","Select","Select",""],["","","ONDANSETRON HCL","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","RYTARY","","","Select","Select",""],["","","MIDODRINE HCL","","","Select","Select",""],["","","PRAMIPEXOLE DIHYDROCHLORIDE","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","HYDRALAZINE HCL","","","Select","Select",""],["","","CARBIDOPA-LEVODOPA","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","KERENDIA","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","TRELEGY ELLIPTA","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","GAVILYTE-G","","","Select","Select",""],["","","DONEPEZIL HCL","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","METOPROLOL TARTRATE","","","Select","Select",""],["","","NP THYROID","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","OMEPRAZOLE","","","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":""}]}]}