{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gregory P Vincent","gend":0,"currentgend":"","add":"25 BOSTON AVE","city":"LEWISTON","state":"ME","zip":"04240","dob":"1951-08-21","age":"","mstatus":"","insh":"10000049619","cliId":"","pno":"2075777301","cno":"","email":"gpvin51@gmail.com","ename":"","eno":"","pphy":"KING, KARYN R","ppno":"2078741489","pcpadd":"InterMed,100 Foden Rd Ste 203","pcpcity":"South Portland","pcpstate":"ME","pcpzip":"04106","pcpcounty":"","pcpid":"","pcpname":"INTERMED","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"2075771279","add2":"","add3":"","madd1":"25 BOSTON AVE","madd2":"","madd3":"","mcity":"LEWISTON","mstate":"ME","mzip":"04240","pcpfaxno":"2075238590","pcpnpi":"1952890485","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3V49HJ4HA43","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F3342","F411","F900","F5109","H31009","G629","N400","Z0000","E785","F319","F988","K5900","H903","H31103","K5909","Z5181","L400","T50A95A","L271","H04123"],"date":["2024-04-24","2024-04-24","2024-04-24","2024-04-24","2023-04-28","2023-07-17","2023-05-18","2023-05-18","2023-05-18","2024-05-24","2023-07-17","2023-10-19","2023-11-17","2024-01-29","2024-02-23","2024-04-29","2024-04-08","2024-05-29","2024-05-29","2024-07-10"],"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":[["","","Flurbiprofen","100 MG","","Select","Select",""],["","","Zoryve","","","Select","Select",""],["","","Xiidra","","","Select","Select",""],["","","Atomoxetine Hcl","","","Select","Select",""],["","","Clonazepam","0.5 MG","","Select","Select",""],["","","Calcipotriene\/Betamethasone Diprop 0.005\/0","","","Select","Select",""],["","","Lamotrigine","25 MG","","Select","Select",""],["","","Rosuvastatin","20 MG","","Select","Select",""],["","","Bupropion Hcl","100 MG","","Select","Select",""],["","","Mirtazapine","7.5 MG","","Select","Select",""],["","","Atomoxetine","10 MG","","Select","Select",""],["","","Calcipotriene 0.005 % Ointment Glenmark","","","Select","Select",""],["","","Methotrexate","2.5 MG","","Select","Select",""],["","","Fluoxetine","20 MG","","Select","Select",""],["","","Famotidine","20 MG","","Select","Select",""],["","","Tamsulosin","0.4 MG","","Select","Select",""],["","","Diazepam","5 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":""}]}]}