{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Robert J Meyer","gend":0,"currentgend":"","add":"797 GARDINER RD","city":"JEFFERSON","state":"ME","zip":"04348","dob":"1949-01-03","age":"","mstatus":"","insh":"10000035175","cliId":"","pno":"2075497452","cno":"","email":"RMEYER20428@GMAIL.COM","ename":"","eno":"","pphy":"ZIMMERMAN, CHRISTINA M","ppno":"","pcpadd":"\tMaineHealth Primary Care,24 Miles Center Way","pcpcity":"Damariscotta","pcpstate":"ME","pcpzip":"04543","pcpcounty":"","pcpid":"","pcpname":"MAINEHEALTH PRIMARY CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"797 GARDINER RD","madd2":"","madd3":"","mcity":"JEFFERSON","mstate":"ME","mzip":"04348","pcpfaxno":"","pcpnpi":"1407047996","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4K54GG0RU09","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H2513","H2511","H18832","N401","R9720","H18831","H04123","H16041","R6889","I480","I2510","I10","Z7901","Z1283","N400","D225","L821","L111","R509","H168","I4819","N419","A419","I4820","R55","N390","R059","R635","K449","K4090","R899","C61","D72829","R490","K219","J343","J342","D075","N410","N411","I340","M4185","K8689","N281","Z8547","Z923","Z9079","Z5112","R300","Z510","E785","R739","R5383","E559","M109","E539","Z0000","K862","Z0100","H353121","J40"],"date":["2023-04-10","2023-04-27","2023-04-25","2023-04-24","2023-07-18","2023-05-03","2023-05-24","2023-05-24","2023-06-01","2024-02-13","2023-08-23","2024-02-13","2023-07-18","2023-06-15","2024-04-08","2023-06-15","2023-06-15","2023-06-15","2023-08-14","2023-05-12","2024-01-25","2023-07-05","2023-07-05","2023-07-05","2023-07-04","2023-07-04","2023-07-10","2023-07-10","2024-03-21","2023-08-01","2023-08-14","2024-04-16","2023-08-01","2023-08-15","2023-08-15","2023-08-15","2023-08-15","2023-08-04","2023-08-04","2023-08-04","2023-08-23","2023-08-29","2023-09-11","2024-03-21","2023-09-20","2023-09-20","2023-09-20","2023-10-16","2024-01-04","2024-01-15","2024-02-13","2024-02-13","2024-02-13","2024-02-13","2024-02-13","2024-02-13","2024-02-22","2024-03-21","2024-06-03","2024-06-03","2024-06-28"],"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":[["","","Xarelto","","","Select","Select",""],["","","Dilt-Xr","","","Select","Select",""],["","","Cartia Xt","","","Select","Select",""],["","","Abrysvo W\/ Diluent Syringe","","","Select","Select",""],["","","Fluzone High-Dose","","","Select","Select",""],["","","Atorvastatin","40 MG","","Select","Select",""],["","","Comirnaty","","","Select","Select",""],["","","Tamsulosin","0.4 MG","","Select","Select",""],["","","Omeprazole","20 MG","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","Gabapentin","300 MG","","Select","Select",""],["","","Fluad","","","Select","Select",""],["","","Boostrix","","","Select","Select",""],["","","Diltiazem","360 MG","","Select","Select",""],["","","Olmesartan","20 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":""}]}]}