{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"David E Reardon","gend":0,"currentgend":"","add":"880 FOREST AVE APT 10 6","city":"Portland","state":"ME","zip":"04103","dob":"1952-03-27","age":"","mstatus":"","insh":"10000054361","cliId":"","pno":"2075101650","cno":"","email":"DAVIDEDWARDREARDON@OUTLOOK.COM","ename":"","eno":"","pphy":"ERICKSON, EMILY J","ppno":"2074394430","pcpadd":"111 BREWSTER STREET,FCC TEAM B","pcpcity":"PAWTUCKET","pcpstate":"RI","pcpzip":"02860","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT MERCY PRIMARY CARE SOUTH PORTLAND","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"880 FOREST AVE APT 10 6","madd2":"","madd3":"","mcity":"Portland","mstate":"ME","mzip":"04103","pcpfaxno":"2074390968","pcpnpi":"1831501378","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3CG9UM0AC45","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I5042","I4820","Z950","I340","I4891","G4731","G4761","I2720","G4739","I5043","Z7901","I429","Z5181","R339","J8489","I10","G4733","N1832","I5041","J90","I083","I77819","Z95818","I420","Z45018","Z09","E1122","E113293","N1830","I5033","E1159","I129","Z905","E1142","B351","D649","I4720","R490","M1009","R809","I3139","G4722","I71012","Z0101","I77812","I708","I7103","J3801","J387","R682","R918","U071","I493","R109","R531","R609","Z515","Z7189","Z23","I088","I288","I130","I2510","R931","E785","R011","R4182","Z452","Z006","I351","G4730","I081","Q2110","I509","S0001XA","S199XXA","S0990XA","I361","I77810","J189","J432","I5040","S02402A","S0240EA","H40013","S0231XA","I5022","I50814","Z0000","L603","E119","N2581","N390","T83098A","Z87891","Y738","E8351","H348312","D500","K5730","R911","I5020","K31819","K922","K449","K635","K5790","K921","D122","K2100","K319","D62","K2970","K2980","K264","K31811","R001","Z7984","Z01812","I771"],"date":["2025-09-15","2025-12-15","2026-01-12","2025-05-20","2025-11-25","2025-10-20","2024-12-02","2024-12-02","2023-10-04","2023-08-25","2026-02-17","2025-08-20","2025-04-08","2026-02-05","2023-06-01","2026-02-11","2025-12-24","2026-02-04","2023-07-15","2024-05-10","2025-05-19","2023-07-14","2024-04-26","2023-07-13","2023-09-25","2023-08-01","2026-01-30","2023-08-01","2025-11-10","2025-09-15","2024-01-04","2025-11-10","2023-09-01","2025-12-22","2024-12-04","2024-12-19","2024-01-23","2023-10-23","2023-09-18","2023-09-19","2023-09-27","2023-10-04","2026-02-04","2025-10-27","2023-10-17","2023-10-17","2025-12-04","2023-12-08","2023-12-08","2023-12-08","2023-12-19","2023-12-28","2024-01-23","2024-01-25","2023-12-19","2023-12-19","2024-03-08","2024-03-08","2025-09-24","2024-03-06","2024-03-06","2024-10-21","2024-03-08","2024-03-08","2025-12-15","2024-03-06","2024-12-06","2024-03-21","2024-03-22","2024-03-21","2024-03-21","2024-03-21","2024-03-21","2026-02-04","2024-04-13","2024-05-20","2024-05-20","2024-04-26","2024-04-26","2024-05-10","2024-05-10","2024-05-10","2024-05-20","2024-05-28","2024-05-29","2024-05-29","2026-03-05","2023-03-29","2026-02-04","2025-12-22","2025-08-08","2025-08-08","2026-01-24","2026-01-24","2026-01-24","2026-01-24","2025-08-15","2024-04-22","2024-12-06","2025-11-07","2025-11-07","2025-05-19","2024-12-06","2024-12-03","2024-12-03","2024-11-13","2024-11-13","2024-11-13","2024-11-13","2024-11-12","2024-11-12","2024-11-12","2024-11-12","2024-11-12","2024-11-12","2024-12-06","2024-08-02","2024-07-29","2025-12-04","2025-11-07"],"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":[["","","ENTRESTO","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","TORSEMIDE","20 MG","","Select","Select",""],["","","JANTOVEN","","","Select","Select",""],["","","ALLOPURINOL","100 MG","","Select","Select",""],["","","METFORMIN","500 MG","","Select","Select",""],["","","Onetouch Ultra 2","","","Select","Select",""],["","","POTASSIUM CL","20 MEQ","","Select","Select",""],["","","PANTOPRAZOLE","40 MG","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","COLCHICINE","0.6 MG","","Select","Select",""],["","","FLUZONE HIGH-DOSE","","","Select","Select",""],["","","Spironolactone","25 MG","","Select","Select",""],["","","ONETOUCH ULTRA","","","Select","Select",""],["","","DIGOXIN","0.125 MG","","Select","Select",""],["","","SPIKEVAX","","","Select","Select",""],["","","CEFPODOXIME","100 MG","","Select","Select",""],["","","FLUZONE HIGH DOSE","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","CINACALCET","30 MG","","Select","Select",""],["","","METOLAZONE","2.5 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","Select","Select",""],["","","Prevnar 20","","","Select","Select",""],["","","GABAPENTIN","100 MG","","Select","Select",""],["","","METOPROLOL SUCC","25 MG","","Select","Select",""],["","","SIMVASTATIN","20 MG","","Select","Select",""],["","","Fluzone High-Dose Quad 2023-24","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","25 MG","","Select","Select",""],["","","WARFARIN","2.5 MG","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD","","","Select","Select",""],["","","PREVNAR","","","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":""}]}]}