{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Robert A Murray","gend":0,"currentgend":"","add":"91 MAYHEW MANOR RD","city":"GREENVILLE","state":"ME","zip":"04441","dob":"1974-10-18","age":"","mstatus":"","insh":"10000115904","cliId":"","pno":2072800468,"cno":"","email":"","ename":"","eno":"","pphy":"KNOWLTON, LUCAS T","ppno":2078764811,"pcpadd":"4720 S I 10 SERVICE RD W STE 301,","pcpcity":"METAIRIE","pcpstate":"LA","pcpzip":"70001124","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT PRIMARY CARE SANGERVILLE","plan":"Martin's Point","program":"MEDICARE","lob":"GA - 2025","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"PO BOX 589","madd2":"","madd3":"","mcity":"GREENVILLE","mstate":"ME","mzip":"04441","pcpfaxno":5048857642,"pcpnpi":1205119831,"currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5XT2QF3FP04","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G4733","Z96651","T8482XA","Z7952","E790","Z471","E559","G8918","Z98890","R051","R0981","S46291A","S46211A","X500XXA","S46221A","R2689","D72829","E785","N6489","N630","Z13820","Z01818","L821","M24661","B079","K529","E860","Z87891","Z0001","Z01812","K8020","M25561","M1712","M5416","Z741","R0683","R5383"],"date":["2025-08-25","2025-08-07","2025-09-10","2024-08-08","2025-04-28","2025-08-20","2025-03-21","2025-08-07","2025-02-05","2025-03-26","2025-03-26","2024-10-02","2024-10-08","2024-09-22","2024-09-22","2025-08-12","2025-06-23","2025-07-23","2025-05-22","2025-05-22","2024-08-08","2024-08-12","2024-08-21","2024-08-27","2024-08-21","2025-06-04","2025-06-04","2025-06-04","2025-06-11","2025-06-02","2025-06-04","2025-08-20","2025-01-22","2025-01-22","2024-12-04","2024-11-22","2024-11-22"],"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":[["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","HYDROMORPHONE HCL","","","Select","Select",""],["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","HYDROXYZINE HCL","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","IBU","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","ONDANSETRON HCL","","","Select","Select",""],["","","CEFADROXIL","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","ALLOPURINOL","","","Select","Select",""],["","","ZEPBOUND","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","LINEZOLID","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","HYDROXYZINE PAMOATE","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","DEXAMETHASONE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","CHLORPROMAZINE HCL","","","Select","Select",""],["","","PROMETHAZINE HCL","","","Select","Select",""],["","","METHOCARBAMOL","","","Select","Select",""],["","","ALBUTEROL SULFATE HFA","","","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":""}]}]}