{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Alan E Murray","gend":0,"currentgend":"","add":"17 HANSON RD","city":"BERWICK","state":"ME","zip":"03901","dob":"1944-09-07","age":"","mstatus":"","insh":"10000058100","cliId":"","pno":"2076985396","cno":"","email":"Admurray17@yahoo.com","ename":"","eno":"","pphy":"ARPIN, BENJAMIN M","ppno":"6036096800","pcpadd":"Wentworth Douglass Physician Corporation,10 Members Way Fl 5","pcpcity":"Dover","pcpstate":"NH","pcpzip":"03820","pcpcounty":"","pcpid":"","pcpname":"WHP INTERNAL MEDICINE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"17 HANSON RD","madd2":"","madd3":"","mcity":"BERWICK","mstate":"ME","mzip":"03901","pcpfaxno":"6036096820","pcpnpi":"1144777293","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3TG8W33TU68","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I493","R9431","R079","Z933","R6889","Z125","E119","I10","L570","L814","L988","J0100","D229","L821","Z08","L255","N132","N200","N23","H40003","H524","I214","I2510","C61","N281","Z9861","E7800","Z87440","N390","Z8546","Z87442","R0609","R001","Z955","T82867A","I222","I25119","E785","I249","I358","I5189","I3139","Z0189","T82868S","I25110","C44519","T8140XA","I440","K219","R778","R0602","E8342","R002","E7849","C44712","E559"],"date":["2024-08-12","2024-08-25","2024-08-24","2025-12-29","2023-10-08","2025-07-15","2026-01-28","2026-01-28","2025-10-28","2024-04-22","2024-01-22","2024-01-29","2024-04-22","2024-04-22","2024-04-22","2024-06-18","2024-06-26","2026-01-28","2024-06-26","2026-01-20","2026-01-20","2026-01-28","2025-08-05","2025-07-23","2025-09-22","2025-08-05","2025-08-05","2024-09-20","2025-09-22","2025-09-22","2025-09-22","2024-08-14","2024-08-25","2024-08-25","2024-08-25","2024-08-23","2024-08-23","2024-09-02","2024-08-25","2024-09-01","2024-09-01","2024-09-01","2024-09-09","2024-09-09","2024-08-13","2025-11-12","2025-11-20","2024-08-24","2024-09-02","2024-09-02","2024-08-31","2024-08-11","2024-08-11","2023-03-21","2025-10-28","2023-03-06"],"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":[["","","OMEPRAZOLE","20 MG","","Select","Select",""],["","","GLIMEPIRIDE","1 MG","","Select","Select",""],["","","HYDROMORPHONE","2 MG","","Select","Select",""],["","","CEFADROXIL","500 MG","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","LISINOPRIL","5 MG","","Select","Select",""],["","","COLCHICINE","0.6 MG","","Select","Select",""],["","","PRASUGREL","10 MG","","Select","Select",""],["","","ATORVASTATIN","40 MG","","Select","Select",""],["","","FLUAD","","","Select","Select",""],["","","BRILINTA","","","Select","Select",""],["","","TAMSULOSIN","0.4 MG","","Select","Select",""],["","","Shingrix","","","Select","Select",""],["","","METOPROLOL SUCC","25 MG","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","PRASUGREL HCL","","","Select","Select",""],["","","Fluad Quad 2023-2024","","","Select","Select",""],["","","Loperamide","2 MG","","Select","Select",""],["","","METFORMIN","500 MG","","Select","Select",""],["","","Gentamicin 0.1 % Ointment Cosette","","","Select","Select",""],["","","CLOPIDOGREL","75 MG","","Select","Select",""],["","","FLUAD QUAD","","","Select","Select",""],["","","GENTAMICIN","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":""}]}]}