{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Danny W Meggison","gend":0,"currentgend":"","add":"57 TOWN FARM RD","city":"BUXTON","state":"ME","zip":"04093","dob":"1953-03-31","age":"","mstatus":"","insh":"10000060068","cliId":"","pno":"2079295752","cno":"","email":"declined@10142025.com","ename":"","eno":"","pphy":"MCKENNEY, BRANDY M","ppno":"2078399101","pcpadd":"Mercy Gorham Crossing Primary Care,19 S Gorham Crossing","pcpcity":"Gorham","pcpstate":"ME","pcpzip":"04038","pcpcounty":"","pcpid":"","pcpname":"NORTHERN LIGHT MERCY PRIMARY CARE GORHAM","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"57 TOWN FARM RD","madd2":"","madd3":"","mcity":"BUXTON","mstate":"ME","mzip":"04093","pcpfaxno":"2078399201","pcpnpi":"1659458511","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8GP2D91XY09","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z7189","Z1331","E785","I10","D492","L821","D225","C4359","M1A9XX0","R7301","I4820","R600","I071","R590","E041","C73","C969","E669","G4730","C770","E890","J3801","R059","R490","Z0000","Z85850","E119","I4821","A419","Z0189","B351","Z87891","R221","R918","J9811","N134","N132","N400","R109","N1330","N281","N201","L905","E1142","N200","Z1211","Z09","D1801","L578","I4891","R609"],"date":["2023-05-03","2023-05-03","2023-08-02","2025-06-22","2025-05-14","2024-11-20","2024-11-20","2023-06-20","2023-08-02","2023-08-02","2025-09-26","2023-09-25","2023-09-25","2024-02-15","2023-12-20","2026-02-18","2023-12-20","2024-01-15","2024-01-15","2024-01-15","2025-10-09","2025-07-22","2024-03-07","2024-03-07","2025-06-22","2025-11-06","2025-06-22","2024-09-17","2024-11-04","2025-08-20","2024-12-17","2024-12-06","2026-01-06","2026-01-06","2026-01-06","2024-11-04","2024-11-04","2024-11-04","2024-11-04","2024-11-05","2024-11-05","2024-11-06","2025-05-14","2024-12-17","2024-11-11","2025-12-09","2024-11-13","2024-11-20","2024-11-20","2023-03-13","2023-02-16"],"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":[["","","FUROSEMIDE","20 MG","","Select","Select",""],["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","ATORVASTATIN","20 MG","","Select","Select",""],["","","CEFUROXIME","500 MG","","Select","Select",""],["","","ALLOPURINOL","300 MG","","Select","Select",""],["","","AMLODIPINE","10 MG","","Select","Select",""],["","","LEVOTHYROXINE","200 MCG","","Select","Select",""],["","","METOPROLOL SUCC","100 MG","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","LISINOPRIL","40 MG","","Select","Select",""],["","","COMIRNATY","","","Select","Select",""],["","","PFIZER-BIONTECH GRAY","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","METFORMIN","500 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":""}]}]}