{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Laurie E Macdonald","gend":1,"currentgend":"","add":"24 FOREST PARK","city":"Waterville","state":"ME","zip":"04901","dob":"1950-11-10","age":"","mstatus":"","insh":"10000044431","cliId":"","pno":"2076490066","cno":"","email":"laurie111050@gmail.com","ename":"","eno":"","pphy":"PHELPS, JULIE J","ppno":"","pcpadd":"Waterville Family Practice,31 Front St","pcpcity":"Waterville","pcpstate":"ME","pcpzip":"04901","pcpcounty":"","pcpid":"","pcpname":"WATERVILLE FAMILY PRACTICE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"24 FOREST PARK","madd2":"","madd3":"","mcity":"Waterville","mstate":"ME","mzip":"04901","pcpfaxno":"2078731186","pcpnpi":"1679562979","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4YE9XK6CC13","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["C50411","Z170","M8580","Z79811","D120","D122","Z1211","K648","I10","E785","R7301","Z0000","Z1331","C50911","Z139","Z23","H524","H5213","H52223","Z0101","H2512","Z961","Z1231","Z853","R921","Z1239","S82832A","W19XXXA","Z6835","K750","D72829","C50919","M25511","M25611","Z96611","K429","E876","E8342","B029","S82832D","R1900","R160","R1011","R109","Z20822","S42251A","R935","R918","R519","R509","A4189","B9689","R1031","K5730","J9811","K828","K769","S42351A","Z471","R7881","Z96619","Z6833","C787","S4291XA","W19XXXD","Z8781","Z1389","M85851","M85852","M8588","S82402A","S82435A","M19011","S42201A","I452","Z01810","Z01818","S42291A","G8918","Z13820","S93402A","S42402A","S42292A","X58XXXD","Z1732","W010XXA","S99912A","S82445K","R92323","Z8616","J0190","U071","Z98890","Z87891"],"date":["2025-10-23","2025-05-08","2024-09-23","2025-05-08","2023-06-26","2023-06-26","2023-06-26","2023-06-26","2024-09-23","2024-09-23","2024-09-23","2025-06-02","2025-06-02","2023-09-20","2025-06-02","2025-10-21","2025-10-30","2025-10-30","2025-10-30","2025-10-30","2025-10-30","2025-10-30","2025-07-21","2025-07-21","2025-07-21","2023-10-26","2025-06-27","2025-06-27","2025-04-01","2025-04-07","2024-12-26","2024-12-26","2025-03-11","2025-03-11","2025-10-28","2025-04-07","2024-12-25","2024-12-25","2024-12-01","2025-08-12","2024-12-17","2024-12-17","2024-12-17","2024-12-26","2024-12-16","2024-10-11","2024-12-19","2024-12-16","2024-12-19","2025-02-06","2024-12-21","2024-12-21","2024-12-16","2024-12-16","2024-12-19","2024-12-19","2024-12-17","2024-10-11","2025-10-28","2025-01-21","2025-01-21","2025-01-21","2024-12-18","2024-09-25","2025-08-12","2025-08-12","2025-06-02","2025-10-14","2025-10-14","2025-10-14","2025-07-25","2025-06-26","2025-05-21","2024-10-11","2024-10-09","2024-10-09","2024-10-08","2024-10-08","2024-10-11","2025-10-14","2025-06-27","2025-06-27","2025-06-27","2025-07-25","2025-05-08","2024-10-08","2025-06-26","2025-06-26","2025-07-21","2023-02-22","2023-02-09","2023-02-03","2023-01-24","2023-01-24"],"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":[["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","MONTELUKAST","10 MG","","Select","Select",""],["","","VALACYCLOVIR","1 GM","","Select","Select",""],["","","LISINOPRIL","30 MG","","Select","Select",""],["","","ABRYSVO ACT-O-VIAL","","","Select","Select",""],["","","Diazepam","5 MG","","Select","Select",""],["","","GABAPENTIN","100 MG","","Select","Select",""],["","","SIMVASTATIN","10 MG","","Select","Select",""],["","","METRONIDAZOLE","500 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","CEFTRIAXONE","","","Select","Select",""],["","","CEFUROXIME","500 MG","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","25 MG","","Select","Select",""],["","","ANASTROZOLE","1 MG","","Select","Select",""],["","","HYDROCODONE\/ACETAMINOPHEN","5\/325 MG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","PAXLOVID","300\/100 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":""}]}]}