{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michael G Ganem","gend":0,"currentgend":"","add":"183 OLD COUNTY RD","city":"PEMBROKE","state":"ME","zip":"04666","dob":"1946-06-01","age":"","mstatus":"","insh":"10000108632","cliId":"","pno":2077431631,"cno":"","email":"mganem4@icloud.com","ename":"","eno":"","pphy":"LUTHIN, SUSAN L","ppno":2078763547,"pcpadd":"118 MOOSEHEAD TRL,STE 5","pcpcity":"NEWPORT","pcpstate":"ME","pcpzip":"49534055","pcpcounty":"","pcpid":"","pcpname":"EASTPORT HEALTH CARE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"183 OLD COUNTY RD","madd2":"","madd3":"","mcity":"PEMBROKE","mstate":"ME","mzip":"04666","pcpfaxno":2078763328,"pcpnpi":1356383962,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8C82WP2VG01","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K922","C4402","J449","Z23","S01112A","R410","D649","D72828","D72821","K130","C009","R011","R9431","I10","E785","D509","M109","S2231XA","H40053","Z98890","E1121","H524","E119","S0990XA","R4182","Z0000","Z9109","R12","E559","R7989","Z119","H40052","R110","Z87891","M6281","E782","N189","Z13818","Z01818","I080","R0602","A419","I6782","S2241XA","Z4802","H6120","W19XXXA","I2510","I6789","K2100"],"date":["2025-09-09","2024-11-25","2023-12-07","2025-05-14","2023-11-08","2023-11-08","2025-08-29","2025-08-29","2025-08-29","2024-11-12","2024-11-29","2024-11-13","2025-09-01","2025-07-09","2025-07-09","2025-01-28","2025-01-28","2024-10-15","2025-07-14","2025-01-22","2025-07-09","2023-09-27","2025-07-15","2023-11-08","2023-11-08","2025-02-03","2025-06-06","2023-09-14","2025-02-24","2025-02-24","2025-02-24","2023-12-18","2023-09-12","2023-12-07","2023-11-27","2025-07-15","2025-02-24","2025-02-24","2024-11-12","2024-11-13","2025-08-29","2023-11-08","2023-11-30","2024-10-09","2024-12-13","2024-12-13","2024-10-09","2024-10-09","2023-11-30","2023-11-30"],"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":[["","","LATANOPROST","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","COLCHICINE","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","LIDOCAINE","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","MONTELUKAST SODIUM","","","Select","Select",""],["","","BOOSTRIX TDAP","","","Select","Select",""],["","","INCRUSE ELLIPTA","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","ALLOPURINOL","","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","","","Select","Select",""],["","","ACETAMINOPHEN-CODEINE","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","ONDANSETRON HCL","","","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":""}]}]}