{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"John P Nolan","gend":0,"currentgend":"","add":"10 PENWOOD DRIVE","city":"KENNEBUNK","state":"ME","zip":"04043","dob":"1947-06-27","age":"","mstatus":"","insh":"10000048290","cliId":"","pno":"2079672617","cno":"2072291305","email":"kcnolan@earthlink.net","ename":"","eno":"","pphy":"CUTONE, JENNIFER A","ppno":"2074673200","pcpadd":"Internal Medicine of Southern Maine,2 Independence Dr Ste B","pcpcity":"Kennebunk","pcpstate":"ME","pcpzip":"04043","pcpcounty":"","pcpid":"","pcpname":"INTERNAL MEDICINE OF SOUTHERN MAINE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"10 PENWOOD DRIVE","madd2":"","madd3":"","mcity":"KENNEBUNK","mstate":"ME","mzip":"04043","pcpfaxno":"2074673207","pcpnpi":"1003879909","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2FQ5PX4GG85","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["L408","C61","N401","K5090","E785","E559","I4891","M353","M8580","Z7952","R2689","I10","L409","Z0000","Q6651","Q6652","M79671","M79672","M064","D649","L4050","Z79899","M9900","M9901","M9902","M9903","M542","K3184","K219","R053","L570","L821","Z85828","C158","F32A","D509","M5450","M810","G250","M2041","L97519","L0889","R7301","Z125","L97512","H02831","H02834","H02102","H02105","Z23","Z9181","R292","R269","M47814","M4712","M4312","D229","L578","L814","R2681","M5127","M5137","M47817","M4317","R6889","M4856XD","M4854XA","M4855XA","H15101","M4855XD","Z8781","S22070A","S22080A","S32010A","M8000XA","K5010","R112","R634","M5116","I4811","M800AXS","R001","M5136","M47816","M160","S22070D","S22000D","S32000S","H02839","Z8501","S81812A","Z0101","H524","I081","I77810","I499","K50119","K5730","N281","L600","K635","K621","I5032","F418","R4182","Z7901","N62","J984","I5030","S32040G","S32050G","Z1211","N644","Z0100","H906","Z08","Z8546","Z923","M533"],"date":["2023-07-10","2026-01-14","2026-01-14","2023-12-22","2025-11-18","2023-04-28","2024-11-18","2023-06-12","2025-11-24","2026-01-21","2024-02-23","2025-11-18","2023-05-10","2023-05-10","2023-05-31","2023-05-31","2023-07-03","2023-07-03","2026-01-21","2023-06-12","2025-11-24","2026-02-12","2026-03-05","2026-03-05","2026-03-05","2026-03-05","2024-01-23","2025-01-14","2025-06-24","2023-06-26","2025-11-25","2024-06-05","2023-07-10","2023-10-01","2023-10-30","2025-11-18","2024-07-22","2026-02-12","2023-09-08","2026-02-20","2023-10-09","2023-10-09","2024-05-10","2024-05-10","2023-10-24","2024-03-27","2024-03-27","2023-10-19","2023-10-19","2025-12-29","2024-02-05","2024-02-23","2023-10-30","2023-12-06","2023-12-06","2023-12-06","2024-01-10","2024-01-10","2024-01-10","2024-02-23","2024-02-23","2024-02-23","2024-02-23","2024-07-18","2023-11-22","2024-06-11","2024-06-11","2024-06-11","2024-06-17","2024-06-13","2024-07-18","2024-06-13","2024-06-13","2024-06-13","2024-08-28","2025-01-16","2024-06-21","2025-02-24","2024-07-05","2025-01-30","2024-07-23","2025-12-16","2024-07-18","2024-07-18","2024-07-18","2024-07-18","2024-07-19","2024-07-19","2024-03-27","2025-01-14","2025-12-29","2024-07-30","2024-07-30","2024-07-25","2024-07-25","2024-07-25","2025-06-24","2024-07-29","2024-07-29","2026-02-20","2025-06-24","2025-06-24","2024-11-14","2025-06-24","2025-06-24","2025-01-30","2024-11-13","2024-11-14","2024-11-18","2024-08-28","2024-08-28","2025-06-24","2024-09-16","2025-09-23","2023-02-09","2023-02-02","2023-02-02","2023-02-02","2023-02-01"],"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":[["","","METHOTREXATE","2.5 MG","","Select","Select",""],["","","METOCLOPRAMIDE","5 MG","","Select","Select",""],["","","GAVILYTE-G","","","Select","Select",""],["","","SERTRALINE","50 MG","","Select","Select",""],["","","MESALAMINE","1.2 GM","","Select","Select",""],["","","FLUAD","","","Select","Select",""],["","","OMEPRAZOLE","40 MG","","Select","Select",""],["","","AMLODIPINE","5 MG","","Select","Select",""],["","","PREDNISONE","5 MG","","Select","Select",""],["","","TRAMADOL","50 MG","","Select","Select",""],["","","TAMSULOSIN","0.4 MG","","Select","Select",""],["","","EVENITY","","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","PROLIA","","","Select","Select",""],["","","SIMPONI ARIA","","","Select","Select",""],["","","Prednisolone Ace 1 % Ophth Susp Sandoz","","","Select","Select",""],["","","LISINOPRIL","40 MG","","Select","Select",""],["","","Ipol","","","Select","Select",""],["","","SIMVASTATIN","20 MG","","Select","Select",""],["","","FUROSEMIDE","40 MG","","Select","Select",""],["","","MORPHINE","15 MG","","Select","Select",""],["","","ABRYSVO W\/ DILUENT SYRINGE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","Triamcinolone Acet 0.1 % Cream Ascend Labs","","","Select","Select",""],["","","METHYLPREDNISOLONE","4 MG","","Select","Select",""],["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","Neo\/Polymyx\/Dex 3.5\/10","","","Select","Select",""],["","","NEO\/POLYMYX\/DEX","","","Select","Select",""],["","","PREDNISOLONE ACE","0.01","","Select","Select",""],["","","TRIAMCINOLONE ACET","0.001","","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":""}]}]}