{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Bonnie M Toone","gend":1,"currentgend":"","add":"60 PARTRIDGE LN","city":"BERWICK","state":"ME","zip":"03901","dob":"1950-04-09","age":"","mstatus":"","insh":"10000040899","cliId":"","pno":"2072064811","cno":"","email":"bmtoone@gmail.com","ename":"","eno":"","pphy":"TREMBLAY, CHRISTINE","ppno":"2076460676","pcpadd":"WELLS FAMILY PRACTICE, 59 MILE RD","pcpcity":"WELLS","pcpstate":"ME","pcpzip":"04090","pcpcounty":"","pcpid":"","pcpname":"WELLS FAMILY PRACTICE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"22 JOHNSTON WAY APT B3","madd2":"","madd3":"","mcity":"STOW","mstate":"MA","mzip":"01775","pcpfaxno":"","pcpnpi":"1457434573","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5AJ9U95CM15","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K900","J101","M533","H6121","M1380","R42","R531","R509","B999","M180","M19071","M19072","Z0000","M1990","Z1231","M5450","F329","D509","M06042","D72829","J209","F439","Z0101","H5203","H353131","R918","R9389","H8110","R112","M5416","M47816","M48062"],"date":["2025-01-06","2025-01-26","2025-07-28","2024-01-04","2025-07-28","2025-01-26","2025-01-26","2025-01-26","2025-01-26","2025-07-28","2025-07-28","2025-07-28","2025-01-13","2025-07-28","2024-10-11","2023-09-01","2025-08-11","2025-08-11","2025-07-28","2024-01-05","2023-10-04","2025-05-02","2025-12-10","2025-12-10","2025-12-10","2023-07-12","2023-07-12","2023-07-07","2023-06-15","2023-05-16","2023-05-16","2023-05-16"],"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":[["","","Hydroxychloroquine","200 MG","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","Albuterol Hfa","90 MCG","","Select","Select",""],["","","Flublok","","","Select","Select",""],["","","Oseltamivir","75 MG","","Select","Select",""],["","","Fluad Quad 2023-2024","","","Select","Select",""],["","","Escitalopram","5 MG","","Select","Select",""],["","","Shingrix","","","Select","Select",""],["","","Ondansetron","4 MG","","Select","Select",""],["","","Escitalopram Oxalate","","","Select","Select",""],["","","Prednisone","10 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":""}]}]}