{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Keith J Oleary","gend":0,"currentgend":"","add":"24 GLIDDEN ST","city":"NEWCASTLE","state":"ME","zip":"04553","dob":"1946-03-09","age":"","mstatus":"","insh":"10000011971","cliId":"","pno":"8186019620","cno":"","email":"keith@murdermystery.com","ename":"","eno":"","pphy":"CLARK, MICHAEL H","ppno":"2075633366","pcpadd":"80 RIVER ROAD,","pcpcity":"NEW CASTLE","pcpstate":"ME","pcpzip":"45533838","pcpcounty":"","pcpid":"","pcpname":"LIFESPAN FAMILY HEALTHCARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"24 GLIDDEN ST","madd2":"","madd3":"","mcity":"NEWCASTLE","mstate":"ME","mzip":"04553","pcpfaxno":"2075633393","pcpnpi":"1982685459","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3JD0TU5AE34","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M353","R58","I4819","H10502","I10","E782","I4891","Z1211","Z0100","I2510","R0609","R9439","I700","I517","I25119","R931","Z23","I4821","Z86010","K635","K5730","D122","D123","D125","M355","Z7952","R5383","M85852","H04123","M722","M79672","B351"],"date":["2024-05-13","2023-04-10","2023-09-07","2023-05-31","2023-06-06","2023-06-06","2023-06-06","2023-10-25","2023-06-13","2024-07-15","2023-08-31","2023-08-31","2023-08-31","2023-08-31","2024-04-17","2023-09-14","2023-09-27","2023-10-13","2023-10-25","2023-10-25","2023-10-25","2023-10-25","2023-10-25","2023-10-25","2024-04-08","2024-05-13","2024-04-17","2024-04-30","2024-05-08","2024-06-03","2024-06-03","2024-05-20"],"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":[["","","Prednisone","5 MG","","Select","Select",""],["","","Fluconazole","150 MG","","Select","Select",""],["","","Benazepril","40 MG","","Select","Select",""],["","","Xarelto","","","Select","Select",""],["","","Tobramycin\/Dex 0.3\/0.1 % Ophth Susp Sandoz","","","Select","Select",""],["","","Benazepril Hcl","","","Select","Select",""],["","","Triamcinolone Acet 0.1 % Cream Perrigo","","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","Pantoprazole","40 MG","","Select","Select",""],["","","Hydroxychloroquine","200 MG","","Select","Select",""],["","","Colchicine","0.6 MG","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Rosuvastatin","5 MG","","Select","Select",""],["","","Allopurinol","100 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Ipratropium 0.06 % Nas Spray Advagen","","","Select","Select",""],["","","Arexvy","","","Select","Select",""],["","","Doxycycline Hyclate","100 MG","","Select","Select",""],["","","Ipratropium 0.06 % Nas Spray Amneal","","","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":""}]}]}