{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Roland G Reid","gend":0,"currentgend":"","add":"89 REID RD","city":"THORNDIKE","state":"ME","zip":"04986","dob":"1945-07-02","age":"","mstatus":"","insh":"10000020105","cliId":"","pno":"2075683275","cno":"","email":"","ename":"","eno":"","pphy":"KRIEGEL, CHARLES B","ppno":"","pcpadd":"Sebasticook Valley Health,80 Main St","pcpcity":"Unity","pcpstate":"ME","pcpzip":"04988","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT HEALTH CENTER UNITY","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"89 REID RD","madd2":"","madd3":"","mcity":"THORNDIKE","mstate":"ME","mzip":"04986","pcpfaxno":"2078613281","pcpnpi":"1497800734","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"9UH8JV5VH31","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z01812","N202","C642","Z466","N200","Z98890","N2889","N281","N1330","Z87442","Z85528","I10","E785","N400","Z0001","R109","K219","I77810","M5450","R296","M5136","M47816","K7689","M549","N132","L03031","G5793","Z01818","N135","N201","G609","C649","D649","R7303","Z1211","D124","L603","K862","N1339","M79641","Z0000","M19041"],"date":["2023-04-17","2023-09-05","2024-06-25","2023-04-28","2024-02-08","2023-09-05","2023-08-16","2024-06-18","2024-06-18","2023-05-16","2023-05-16","2023-11-16","2023-10-16","2023-05-18","2023-06-02","2023-06-02","2023-11-16","2023-06-02","2023-06-26","2023-06-26","2023-06-26","2023-06-26","2023-07-26","2023-07-26","2023-08-16","2023-08-25","2023-08-25","2023-09-19","2023-10-16","2023-10-16","2023-11-07","2024-02-08","2024-03-20","2024-03-12","2024-05-13","2024-05-13","2024-05-30","2024-06-18","2024-06-18","2024-06-25","2024-07-01","2024-07-09"],"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":[["","","Naproxen","500 MG","","Select","Select",""],["","","Prednisone","20 MG","","Select","Select",""],["","","Clindamycin","300 MG","","Select","Select",""],["","","Pravastatin","40 MG","","Select","Select",""],["","","Amlodipine","5 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Tamsulosin","0.4 MG","","Select","Select",""],["","","Amoxicillin\/Clav","875\/125 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Prednisolone Ace 1 % Ophth Susp Sandoz","","","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":""}]}]}