{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Edward A Mckenna","gend":0,"currentgend":"","add":"17 PROSPECT ST","city":"Topsham","state":"ME","zip":"04086","dob":"1942-02-22","age":"","mstatus":"","insh":"00007670200","cliId":"","pno":"2077294282","cno":"","email":"declined@062922.com","ename":"","eno":"","pphy":"ANDERSON, JULIANNA","ppno":"2077984400","pcpadd":"Martins Point Health Care,114 Bath Rd","pcpcity":"Brunswick","pcpstate":"ME","pcpzip":"04011","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"2077294282","add2":"","add3":"","madd1":"17 PROSPECT ST","madd2":"","madd3":"","mcity":"Topsham","mstate":"ME","mzip":"04086","pcpfaxno":"","pcpnpi":"1841907607","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2K88WW8XV43","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["S91302D","E871","E1165","L97529","M79672","E1140","R399","R531","R6883","N390","J9811","R918","I2510","N1832","M7989","R300","R509","S91302A","Z6841","E11621","M79605","N400","R55","I350","I10","A401","J449","A419","W19XXXA","R7881","R8271","I3481","I340","Z952","M85872","M19072","S82402A","Z96652","E785","K219","E6601","Z7409","Z66","L97429","R809","E1142","N2581","B351","M79674","M79675","L97522","R262","N281","N3289","G4733","L03116","L0390","R110","M79606","D72829","E11628","R161","R9341","K8689","J90","N480","N35911","M7732","E11622","N3001","Z23","L089","N1830","R410","R21","R601","N2889","N189","J984","Z96612","I6521","L97509","J159","N179","Z452","I517","R0989","Z471","Q619","M86172","Z20822","Z4781","E119","A000","R001","I441","Z4801","R339","N471","E1122","L400","L570","D631","N184","N185","K222","J029","S59901A","R58","R319","D649","T17908A","R059","Z515","M65332","E782","I25810","M25551","R197","E1169","R7989","E839","Z0000","N3090","N401","I739","R040","G459","G319","I672","M25552","Z794","M1611","J329","N289","M65312","K921","L02612","N3000","I440","I498","K922","J4489","D125","K5730","Z980","R079","I499","L97229","I4710","M542","I6529","D509","K5731","I129","N200","I4891","B354","G5602","R519","S51811S","R350","L02416","S81802D","L02419","R0602","S82892A","S82402D","L0291","S8012XA","I872","I890","M79662","R600","S8010XA","M65341","I25119","I9789","S82862D","S82832A"],"date":["2023-03-25","2023-04-12","2023-11-07","2023-11-08","2023-05-30","2025-07-03","2023-04-24","2023-04-27","2023-04-26","2026-01-12","2025-03-24","2024-08-08","2024-07-09","2024-09-30","2023-10-24","2026-01-04","2023-10-27","2023-05-22","2023-05-21","2025-03-19","2026-01-17","2023-05-03","2023-05-03","2025-10-29","2025-12-19","2023-04-27","2026-02-07","2023-06-02","2026-01-17","2023-05-23","2023-05-23","2023-05-22","2023-05-23","2025-08-25","2023-10-23","2023-10-24","2026-01-17","2023-10-23","2026-02-09","2026-02-09","2026-02-07","2023-05-20","2023-10-28","2023-05-21","2023-10-10","2023-10-24","2024-11-12","2023-08-22","2023-05-30","2023-05-30","2023-10-24","2023-08-22","2025-09-12","2023-07-31","2026-01-30","2023-11-07","2023-07-08","2023-07-08","2023-07-08","2023-07-08","2023-11-13","2023-07-31","2023-07-31","2023-07-31","2024-09-24","2023-08-31","2023-08-31","2023-08-29","2023-08-29","2025-12-12","2024-09-30","2023-11-13","2024-11-12","2023-10-23","2023-10-23","2023-10-24","2023-10-27","2025-10-15","2023-10-27","2025-08-20","2023-11-02","2023-11-07","2023-10-28","2023-12-19","2023-12-19","2025-08-20","2023-12-19","2023-12-19","2023-12-19","2023-12-15","2023-12-18","2024-03-03","2024-01-24","2024-02-02","2024-04-15","2025-08-25","2024-04-02","2024-05-10","2024-05-10","2024-09-30","2024-07-01","2025-05-02","2025-12-17","2026-01-12","2026-01-27","2024-08-08","2024-08-08","2024-08-14","2024-08-14","2024-10-28","2024-10-03","2024-08-08","2025-08-20","2026-01-27","2025-09-04","2025-08-25","2025-08-25","2025-11-26","2023-03-23","2025-12-19","2024-09-10","2025-10-15","2025-05-02","2023-03-21","2025-07-25","2025-04-26","2025-04-26","2023-03-22","2023-03-22","2023-03-22","2025-07-23","2025-12-19","2025-08-19","2024-09-18","2025-09-12","2025-09-04","2026-02-17","2023-03-21","2025-03-26","2025-03-27","2025-03-27","2026-02-09","2026-02-09","2026-02-09","2026-02-09","2026-02-09","2026-02-07","2026-02-10","2023-03-22","2024-08-30","2024-08-14","2024-08-14","2025-10-15","2026-02-06","2025-10-29","2025-09-12","2024-08-29","2025-10-15","2025-09-04","2024-08-14","2024-08-14","2025-09-02","2023-03-06","2023-03-17","2023-03-07","2023-03-04","2023-03-04","2023-03-04","2023-03-04","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2023-02-14","2023-02-21","2023-02-14","2023-02-14","2023-02-06","2023-01-18"],"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":[["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","FUROSEMIDE","20 MG","","Select","Select",""],["","","NYAMYC","","","Select","Select",""],["","","ARANESP","","","Select","Select",""],["","","AMOXICILLIN","500 MG","","Select","Select",""],["","","LEVOFLOXACIN","250 MG","","Select","Select",""],["","","TRAZODONE","50 MG","","Select","Select",""],["","","ACCU-CHEK AVIVA PLUS","","","Select","Select",""],["","","CEFPODOXIME","200 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","PAXLOVID (EUA)","","","Select","Select",""],["","","TERAZOSIN","10 MG","","Select","Select",""],["","","CIPROFLOXACIN","250 MG","","Select","Select",""],["","","FINASTERIDE","5 MG","","Select","Select",""],["","","ATORVASTATIN","40 MG","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","COMIRNATY","","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","Select","Select",""],["","","Betamethasone Diprop Aug 0.05 % Lotion Tar","","","Select","Select",""],["","","CALCITRIOL","0.25 MCG","","Select","Select",""],["","","FLUAD","","","Select","Select",""],["","","GLIPIZIDE","5 MG","","Select","Select",""],["","","LISINOPRIL","40 MG","","Select","Select",""],["","","HYDRALAZINE","25 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","Clotrim\/Betameth Diprop 1\/0.05 % Cream Fou","","","Select","Select",""],["","","METOPROLOL TART","25 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM","800\/160 MG","","Select","Select",""],["","","BOOSTRIX","","","Select","Select",""],["","","FAMOTIDINE","20 MG","","Select","Select",""],["","","Betamethasone Diprop 0.05 % Ointment Padag","","","Select","Select",""],["","","Betamethasone Diprop 0.05 % Ointment Viona","","","Select","Select",""],["","","CLINDAMYCIN","150 MG","","Select","Select",""],["","","NITROFURANTOIN MACRO\/MONO","100 MG","","Select","Select",""],["","","Nystatin 100","","","Select","Select",""],["","","CLOTRIM\/BETAMETH DIPROP","1\/0.05 %","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","BETAMETHASONE DIPROP AUG","0.0005","","Select","Select",""],["","","BETAMETHASONE DIPROP","0.0005","","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":""}]}]}