{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Lynn E Whitney","gend":1,"currentgend":"","add":"1028 CAPE ROSIER RD","city":"HARBORSIDE","state":"ME","zip":"04642","dob":"1952-01-25","age":"","mstatus":"","insh":"10000054684","cliId":"","pno":"2073269051","cno":"2074795484","email":"zekespoint@gmail.com","ename":"","eno":"","pphy":"LESKO, LISA A","ppno":"2073742311","pcpadd":"Blue Hill Family Medicine,57 Water St","pcpcity":"Blue Hill","pcpstate":"ME","pcpzip":"04614","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT PRIMARY CARE BLUE HILL","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1028 CAPE ROSIER RD","madd2":"","madd3":"","mcity":"HARBORSIDE","mstate":"ME","mzip":"04642","pcpfaxno":"2073742618","pcpnpi":"1720022866","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4XH8GP4DW42","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M25511","Z0100","Z471","Z96653","Z09","E6601","M79662","R600","S81012A","I10","R7989","Z23","K219","R0602","Z0000","R059","R062","Z1231","I2699","N6315","R9230","D0511","K4090","K429","C50811","Z170","C50911","J45909","C50411","M7989","R931","Z86711","Z7901","Z510","F419","H5319","Z780","Z0001","B351","C50919","G4733","G4736","G5601","Z08","Z923","Z79811","Z853","E039","C50111","M19011","I119","J9811","M19012","M25512","M25561","I1310","I493","M25531","I4710","M8588","J189","J9801","N289","Z7409","R1310","Z79899","M79676","R269","M79621","R918","I2720","E785","S66911A","M542","R921","M79601","M19031","R102","R3915","R350","N8184","M25532"],"date":["2025-12-09","2024-06-28","2023-05-30","2023-05-30","2024-02-19","2024-01-19","2023-10-04","2023-08-03","2023-08-11","2025-04-17","2023-08-09","2024-10-31","2026-02-26","2024-10-31","2024-12-04","2024-10-31","2024-10-10","2026-01-12","2024-01-14","2024-02-07","2024-01-31","2024-02-14","2024-02-14","2024-02-14","2024-12-30","2024-03-25","2025-12-05","2024-03-11","2025-06-18","2024-02-05","2024-02-16","2024-02-19","2024-02-19","2024-05-01","2024-05-21","2024-06-28","2025-07-15","2025-12-05","2025-05-28","2025-12-05","2026-02-28","2024-12-08","2024-12-12","2026-01-21","2026-01-21","2026-01-21","2026-01-21","2025-07-16","2025-01-15","2025-12-09","2024-08-22","2025-01-13","2025-12-09","2025-12-09","2026-02-27","2025-03-18","2024-12-08","2025-01-02","2026-02-18","2025-07-15","2025-01-17","2025-01-07","2024-10-15","2025-04-03","2026-02-26","2026-02-26","2025-09-04","2025-06-18","2025-12-10","2024-10-26","2025-01-27","2026-01-25","2025-01-02","2025-12-09","2025-01-10","2025-12-10","2024-08-21","2023-02-17","2023-02-17","2023-02-17","2023-02-17","2023-02-09"],"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":[["","","PREDNISONE","20 MG","","Select","Select",""],["","","FUROSEMIDE","20 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAV","500\/125 MG","","Select","Select",""],["","","ANASTROZOLE","1 MG","","Select","Select",""],["","","PROCTO-MED HC","","","Select","Select",""],["","","FLUTICASONE PROP\/SALMETEROL HFA","230\/21 MCG","","Select","Select",""],["","","ROSUVASTATIN","10 MG","","Select","Select",""],["","","ALENDRONATE","70 MG","","Select","Select",""],["","","Omeprazole","20 MG","","Select","Select",""],["","","LETROZOLE","2.5 MG","","Select","Select",""],["","","LOSARTAN","100 MG","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","FAMOTIDINE","20 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","TRAMADOL","50 MG","","Select","Select",""],["","","FLUTICASONE PROP HFA","110 MCG","","Select","Select",""],["","","BREZTRI AEROSPHERE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","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":""}]}]}