{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gerard N Loranger","gend":0,"currentgend":"","add":"2 PHEASANT RD","city":"SACO","state":"ME","zip":"04072","dob":"1949-02-24","age":"","mstatus":"","insh":"10000034907","cliId":"","pno":"2077300069","cno":"","email":"jloranger24@gmail.com","ename":"","eno":"","pphy":"CONNOLLY, PATRICK J","ppno":"2078282402","pcpadd":"PO BOX 9746,","pcpcity":"PORTLAND","pcpstate":"ME","pcpzip":"41045040","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"2 PHEASANT RD","madd2":"","madd3":"","mcity":"SACO","mstate":"ME","mzip":"04072","pcpfaxno":"2078282425","pcpnpi":"1982655098","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3Q11PC8FG25","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":["E11622","R6889","H35033","L03116","Z89422","I739","L0390","M7989","D72829","Z0389","J449","L97529","I872","E11621","E1142","L97509","L97423","L97522","R262","N2889","I70245","Z01818","I77819","I517","I70244","K8689","R590","Z23","C649","N3289","I70222","Z89432","C641","Q632","I890","A4101","Z736","J189","R112","R0600","M79606","R000","R451","I823","M25641","M79641","M6281","R600","Z4659","T8789","T23321A","I358","L089","R140","X101XXA","G609","G894","G5721","E1140","M654","M86141","R509","I10","S0990XA","J9600","G629","Z87891","I4891","J9601","R1110","M869","I96","L03011","E119","T310","T8781","Z905","Z7901","J90","H5213","H52221","H524","E785","R9431","S62630A","S61200A","M19041","T8131XA","R0602","R0902","Z4781","E1141","G9341","B351","L97821","B965","A419","I214","R6521","R918","G5622","E669","R4182","M62532","L97429","Z7984","G5621","G4730"],"date":["2026-02-18","2025-11-13","2025-12-30","2024-05-12","2023-09-19","2024-09-05","2026-02-18","2024-07-16","2023-09-22","2023-09-22","2023-09-25","2023-10-03","2023-09-28","2024-09-11","2025-04-11","2023-09-28","2023-10-02","2023-10-02","2025-04-11","2024-09-13","2024-08-07","2024-07-25","2023-10-12","2025-03-31","2023-10-18","2023-09-21","2023-09-21","2023-11-01","2024-07-02","2023-11-28","2024-01-10","2024-02-22","2024-09-13","2024-09-13","2024-07-15","2025-03-29","2025-04-10","2025-04-10","2025-07-11","2025-03-29","2025-03-29","2025-03-29","2025-03-29","2026-02-18","2025-08-06","2025-08-06","2025-08-06","2026-02-08","2025-04-01","2025-08-08","2025-07-31","2025-03-31","2026-02-18","2025-04-03","2025-06-19","2025-03-27","2025-03-27","2025-02-24","2024-12-20","2024-12-10","2026-02-18","2024-10-09","2026-02-18","2025-04-28","2025-03-29","2025-06-30","2025-06-30","2025-07-18","2025-04-03","2025-07-11","2026-02-24","2026-02-24","2026-02-24","2026-02-24","2025-07-17","2025-09-17","2025-07-11","2025-07-11","2024-07-17","2025-12-30","2025-12-30","2025-12-30","2025-10-10","2025-04-02","2025-06-26","2025-06-26","2025-06-26","2024-10-24","2025-04-02","2025-03-29","2025-08-21","2026-02-18","2025-04-09","2025-04-11","2025-01-16","2025-07-02","2025-04-03","2025-03-31","2025-03-31","2025-03-29","2023-03-16","2023-03-16","2023-03-16","2023-03-16","2023-02-22","2023-02-22","2023-02-02","2023-02-02"],"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":[["","","Triamcinolone Acet 0.025 % Cream Fougera","","","Select","Select",""],["","","ATENOLOL","100 MG","","Select","Select",""],["","","ENOXAPARIN SODIUM","","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","100 MG","","Select","Select",""],["","","HYDROCODONE\/ACETAMINOPHEN","10\/325 MG","","Select","Select",""],["","","Triamcinolone Acet 0.025 % Cream Macleods","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","PREGABALIN","150 MG","","Select","Select",""],["","","AMITRIPTYLINE","25 MG","","Select","Select",""],["","","MOUNJARO","","","Select","Select",""],["","","CARVEDILOL","25 MG","","Select","Select",""],["","","OXCARBAZEPINE","300 MG","","Select","Select",""],["","","SIMVASTATIN","40 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAV","500\/125 MG","","Select","Select",""],["","","ONETOUCH VERIO","","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","GLIPIZIDE","5 MG","","Select","Select",""],["","","Triamcinolone Acet 0.025 % Cream Ascend La","","","Select","Select",""],["","","DULOXETINE","20 MG","","Select","Select",""],["","","TRAZODONE","150 MG","","Select","Select",""],["","","WARFARIN","5 MG","","Select","Select",""],["","","SULFAMETHOXAZOLE\/TRIMETHOPRIM","800\/160 MG","","Select","Select",""],["","","ONDANSETRON","4 MG","","Select","Select",""],["","","ONETOUCH VERIO FLEX SYSTEM","","","Select","Select",""],["","","HYDROMORPHONE","2 MG","","Select","Select",""],["","","JOURNAVX","","","Select","Select",""],["","","DOXAZOSIN","2 MG","","Select","Select",""],["","","FUROSEMIDE","40 MG","","Select","Select",""],["","","MIRTAZAPINE","30 MG","","Select","Select",""],["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","ROPINIROLE","1 MG","","Select","Select",""],["","","Levofloxacin","750 MG","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","METFORMIN","500 MG","","Select","Select",""],["","","Jublia","","","Select","Select",""],["","","MEMANTINE","10 MG","","Select","Select",""],["","","TRIAMCINOLONE ACET","0.00025","","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":""}]}]}