{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Joyce T Wheeler","gend":1,"currentgend":"","add":"10 KINGS HWY S","city":"ELIOT","state":"ME","zip":"03903","dob":"1948-08-02","age":"","mstatus":"","insh":"10000027143","cliId":"","pno":"2074391549","cno":"","email":"","ename":"","eno":"","pphy":"STUTTS, HANNAH B","ppno":"6033661070","pcpadd":"841 CENTRAL ST,","pcpcity":"FRANKLIN","pcpstate":"NH","pcpzip":"32352026","pcpcounty":"","pcpid":"","pcpname":"HEALTH FIRST FAMILY CARE CENTER","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"10 KINGS HWY S","madd2":"","madd3":"","mcity":"ELIOT","mstate":"ME","mzip":"03903","pcpfaxno":"6039342805","pcpnpi":"1477924199","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7M03XN0UT02","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E1165","Z0000","S42214A","R079","I214","N179","E878","E8729","S42251A","R519","R911","M25551","M25511","R531","W19XXXA","I219","N1411","R918","R0602","I10","D649","S42231D","N189","S42231A","I255","R000","R7989","I2510","I509","J811","S42254D","J9601","I130","E1122","I5033","J189","S42291A","S42261A","Z09","Z4789","I209","Z7982","Z7902","Z794","M79602","I252","I080"],"date":["2025-11-19","2024-06-21","2024-11-25","2025-12-01","2025-12-03","2025-02-10","2025-02-10","2025-02-09","2024-11-25","2024-11-25","2025-01-08","2024-11-25","2024-11-25","2024-11-25","2024-11-25","2025-12-22","2025-02-08","2025-02-09","2025-02-04","2025-02-10","2025-12-10","2025-01-10","2025-12-08","2025-01-10","2025-07-08","2025-02-05","2025-02-05","2025-02-05","2025-02-09","2025-02-09","2024-12-01","2025-02-06","2025-02-07","2025-02-07","2025-02-10","2025-02-10","2024-11-25","2024-11-25","2025-12-10","2024-12-13","2025-12-01","2025-12-01","2025-12-01","2025-12-01","2025-12-01","2025-12-01","2025-02-05"],"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":[["","","TRUE METRIX","","","Select","Select",""],["","","Freestyle Libre 10 Day Reader","","","Select","Select",""],["","","CARVEDILOL","3.125 MG","","Select","Select",""],["","","ATORVASTATIN","40 MG","","Select","Select",""],["","","ISOSORBIDE DINITRATE","10 MG","","Select","Select",""],["","","Novolin 70\/30 Flexpen","","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","TRAMADOL","50 MG","","Select","Select",""],["","","GLIPIZIDE","10 MG","","Select","Select",""],["","","SIMVASTATIN","40 MG","","Select","Select",""],["","","Freestyle Libre 14 Day Sensor (Ref 71940-0","","","Select","Select",""],["","","OZEMPIC","","","Select","Select",""],["","","CITALOPRAM","40 MG","","Select","Select",""],["","","AMLODIPINE","5 MG","","Select","Select",""],["","","HYDRALAZINE","10 MG","","Select","Select",""],["","","Novolog Mix 70\/30","","","Select","Select",""],["","","TORSEMIDE","10 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","25 MG","","Select","Select",""],["","","FUROSEMIDE","40 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","METOPROLOL SUCC","50 MG","","Select","Select",""],["","","Unifine Safecontrol (Ref An 7955)","","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","ISOSORBIDE MONONITRATE","60 MG","","Select","Select",""],["","","FREESTYLE FREEDOM LITE","","","Select","Select",""],["","","Bd Autoshield Duo (Ref 329515)","","","Select","Select",""],["","","Freestyle Libre 2 Reader (Ref 71953-01)","","","Select","Select",""],["","","Freestyle Libre 3 Sensor","","","Select","Select",""],["","","Freestyle Libre 2 Sensor","","","Select","Select",""],["","","Freestyle Libre 3 Reader","","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","NOVOLIN","","","Select","Select",""],["","","NOVOLOG MIX","","","Select","Select",""],["","","FREESTYLE LIBRE","2 READER","","Select","Select",""],["","","UNIFINE SAFECONTROL (REF AN","","","Select","Select",""],["","","BD AUTOSHIELD DUO (REF","","","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":""}]}]}