{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Margaret P Harrington","gend":1,"currentgend":"","add":"1040 PRESCOTT RD","city":"MANCHESTER","state":"ME","zip":"04351","dob":"1942-03-04","age":"","mstatus":"","insh":"00007117800","cliId":"","pno":"2072420298","cno":"2072420298","email":"Nanaharrington42@gmail.com","ename":"","eno":"","pphy":"SCHIFF SLATER, SCOTT D","ppno":"2076260606","pcpadd":"Hallowell Family Practice,\t9 Union St","pcpcity":"Hallowell","pcpstate":"ME","pcpzip":"04347","pcpcounty":"","pcpid":"","pcpname":"HALLOWELL FAMILY PRACTICE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1040 PRESCOTT RD","madd2":"","madd3":"","mcity":"MANCHESTER","mstate":"ME","mzip":"04351","pcpfaxno":"2076260022","pcpnpi":"1750354957","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2KP6YR5XR63","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["D485","L570","X32XXXA","L821","L814","C44311","E039","I10","N184","R5383","I129","H26491","H35371","K219","H35351","R0602","J449","J387","Z87891","Z7951","H59031","H524","Z961","Z23","Z0001","J441","D631","B351","D1721","Z780","Z13820","L602","N1832","J439","M40209","Z1231","K449","D649","I25118","I5032","E7849","R0789","Z9049","E790","I70203","M5450","M546","M5136","M47816","M48061","M79673","G8929","Z0000","M159","M7989","I130","L851","I447","E785","Z0100","H5712","M1612","M25552","M5114","M4726","M5115","M5116","M4724","M4804","R252","H04123","M79671","M79672","H903","L603","H35373","R92323","I459","R059","H26492"],"date":["2023-04-06","2025-04-14","2025-04-14","2025-04-14","2025-04-14","2023-05-12","2024-08-20","2026-01-05","2026-01-05","2023-08-16","2024-12-17","2023-04-24","2023-05-23","2023-04-24","2023-05-23","2024-02-27","2025-10-09","2023-05-30","2023-05-30","2023-05-30","2025-01-28","2023-06-07","2023-06-14","2023-09-22","2023-06-22","2023-12-27","2023-06-22","2023-06-26","2023-12-06","2023-09-05","2023-09-05","2023-10-23","2024-12-04","2024-02-27","2025-05-21","2026-01-30","2024-01-10","2024-02-07","2024-02-28","2026-01-05","2024-02-28","2024-02-27","2024-02-27","2024-03-07","2025-10-09","2024-10-28","2024-05-01","2024-05-10","2024-05-29","2025-05-21","2025-04-07","2025-11-25","2025-10-29","2025-10-29","2025-10-15","2025-10-07","2023-03-22","2025-11-18","2025-11-18","2026-01-29","2025-10-06","2024-11-13","2024-11-13","2025-11-04","2025-05-21","2025-05-21","2025-05-21","2025-05-21","2025-05-21","2024-10-28","2026-01-29","2025-10-15","2025-10-15","2025-10-15","2026-02-12","2026-01-29","2026-01-30","2025-12-23","2023-02-06","2023-02-03"],"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":[["","","HYDROCODONE\/ACETAMINOPHEN","5\/325 MG","","Select","Select",""],["","","FLUTICASONE PROP","50 MCG","","Select","Select",""],["","","ALBUTEROL\/IPRATROPIUM","3\/0.5 MG\/3","","Select","Select",""],["","","CYCLOBENZAPRINE","5 MG","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","Spikevax 2023-2024","","","Select","Select",""],["","","MNEXSPIKE","","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","FLUAD","","","Select","Select",""],["","","ROSUVASTATIN","5 MG","","Select","Select",""],["","","ALENDRONATE","35 MG","","Select","Select",""],["","","LEVOTHYROXINE","75 MCG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","Tobramycin\/Dex 0.3\/0.1 % Ophth Susp Sandoz","","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","PANTOPRAZOLE","40 MG","","Select","Select",""],["","","ISOSORBIDE MONONITRATE","30 MG","","Select","Select",""],["","","ACYCLOVIR","800 MG","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","Select","Select",""],["","","ALLOPURINOL","100 MG","","Select","Select",""],["","","Prevnar 20","","","Select","Select",""],["","","PROTONIX","","","Select","Select",""],["","","FUROSEMIDE","40 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","Fluzone High-Dose Quad 2023-24","","","Select","Select",""],["","","ATENOLOL","25 MG","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","BREZTRI AEROSPHERE","","","Select","Select",""],["","","FEBUXOSTAT","40 MG","","Select","Select",""],["","","PREDNISONE","20 MG","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD","","","Select","Select",""],["","","TOBRAMYCIN\/DEX","0.3\/0.1 %","","Select","Select",""],["","","TOBRAMYCIN","0.003","","Select","Select",""],["","","PREDNISOLONE ACE","0.01","","Select","Select",""],["","","PREVNAR","","","Select","Select",""],["","","SPIKEVAX","","","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":""}]}]}