{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Mylan A Stoddard","gend":0,"currentgend":"","add":"12 ALDER LN","city":"Standish","state":"ME","zip":"04084","dob":"1945-12-27","age":"","mstatus":"","insh":"10000032593","cliId":"","pno":"2076422681","cno":"","email":"elamom04@yahoo.com","ename":"","eno":"","pphy":"CAREY, SEAN P","ppno":"2078392559","pcpadd":"Martins Point Health Care,575 Main St","pcpcity":"Gorham","pcpstate":"ME","pcpzip":"04038","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"2073185915","add2":"","add3":"","madd1":"12 ALDER LN","madd2":"","madd3":"","mcity":"Standish","mstate":"ME","mzip":"04084","pcpfaxno":"2075231135","pcpnpi":"1447328125","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8V26PQ4FA41","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":["S32029A","S32039A","S32049A","S3993XA","S32009A","Z8673","I10","Z87891","R109","I480","Z95818","Z23","M25552","M160","J189","I4819","M79674","J439","I639","J449","E785","E876","J90","K219","Z7901","M25511","M10071","I6529","E860","M109","J9601","J432","J918","I4891","M7989","L918","D2339","D75839","R4589","Z5181","I499","Z8701","K9289","J40","Z7952","R0789","J069","R0600","R0602","R0902","I498","A419","R918","I080","I501","I083","I2510","Z0100","R4182","D485","Z4682","Z66","R059"],"date":["2023-04-30","2023-04-30","2023-04-30","2023-04-30","2023-04-30","2025-01-02","2026-01-05","2025-08-20","2023-04-30","2026-02-09","2025-01-02","2025-02-11","2024-05-23","2024-05-23","2025-04-25","2026-02-25","2026-01-05","2025-08-04","2025-08-20","2025-08-20","2025-08-20","2026-02-09","2025-04-14","2025-07-02","2025-08-20","2024-10-07","2025-12-31","2026-02-09","2025-07-06","2025-12-11","2025-03-04","2025-03-04","2025-03-04","2024-09-27","2025-12-11","2025-02-11","2025-02-11","2025-03-07","2025-11-04","2025-07-03","2025-07-18","2026-02-12","2025-11-04","2025-02-17","2025-02-17","2025-02-22","2025-02-22","2025-02-22","2025-02-25","2025-02-25","2025-08-20","2025-02-25","2025-02-28","2025-02-26","2025-02-26","2025-06-30","2025-08-20","2025-12-16","2025-06-02","2025-02-11","2025-03-03","2025-02-25","2025-04-01"],"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":[["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","POTASSIUM CL","20 MEQ","","Select","Select",""],["","","COLCHICINE","0.6 MG","","Select","Select",""],["","","TAMSULOSIN","0.4 MG","","Select","Select",""],["","","DOFETILIDE","0.5 MG","","Select","Select",""],["","","PREDNISONE","20 MG","","Select","Select",""],["","","ATORVASTATIN","80 MG","","Select","Select",""],["","","AMLODIPINE","10 MG","","Select","Select",""],["","","OMEPRAZOLE","20 MG","","Select","Select",""],["","","METOPROLOL TART","25 MG","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","SPIRIVA RESPIMAT","","","Select","Select",""],["","","CHLORTHALIDONE","25 MG","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","INCRUSE ELLIPTA","","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","CEFDINIR","300 MG","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","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":""}]}]}