{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"John J Mcmahon","gend":0,"currentgend":"","add":"15 HILLSIDE AVE","city":"CUMBERLAND CENTER","state":"ME","zip":"04021","dob":"1945-06-02","age":"","mstatus":"","insh":"10000062901","cliId":"","pno":"2078296408","cno":"","email":"ejmcmahon@gmail.com","ename":"","eno":"","pphy":"ODONNELL, PETER B","ppno":"2078462229","pcpadd":"Harbourside Family Practice,60 Forest Falls Dr Ste 3","pcpcity":"Yarmouth","pcpstate":"ME","pcpzip":"04096","pcpcounty":"","pcpid":"","pcpname":"HARBOURSIDE FAMILY PRACTICE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"15 HILLSIDE AVE","madd2":"","madd3":"","mcity":"CUMBERLAND CENTER","mstate":"ME","mzip":"04021","pcpfaxno":"2078465119","pcpnpi":"1982649943","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4EH5MD7NE68","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","Z87891","E1165","M79673","M109","M79671","M19071","M2142","E119","E875","R0609","E7800","H353132","H43812","H25812","M79672","I2510","G4700","H6121","L97519","L600","L97509","R058","H35363","R918","R059","H8190","L570","Z85828","L578","L821","R6889","F32A","Z23","R197","B353","J209","Z125","Z0001","B369","D485","Z1212","R195","D124","K5730","K648","K529","K6389","Z1211","K523"],"date":["2024-04-22","2024-04-22","2023-04-11","2023-04-11","2023-11-08","2023-07-26","2023-04-18","2023-04-18","2024-01-19","2023-04-21","2023-05-11","2024-01-19","2023-05-30","2023-05-30","2023-08-10","2023-07-26","2023-07-18","2023-07-18","2023-07-18","2023-07-26","2023-07-26","2023-07-26","2023-09-14","2023-09-05","2023-09-12","2023-09-12","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-14","2023-09-06","2024-04-22","2023-10-19","2024-07-09","2024-01-04","2024-01-04","2024-01-19","2024-01-25","2024-01-30","2024-01-30","2024-01-26","2024-02-19","2024-02-20","2024-02-20","2024-02-20","2024-03-01","2024-02-20","2024-02-20","2024-04-11"],"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",""],["","","Pravastatin","40 MG","","Select","Select",""],["","","Prednisolone Ace 1 % Ophth Susp Sandoz","","","Select","Select",""],["","","Verapamil","240 MG","","Select","Select",""],["","","Azithromycin","250 MG","","Select","Select",""],["","","Sertraline","100 MG","","Select","Select",""],["","","Mesalamine","1.2 GM","","Select","Select",""],["","","Fluzone High-Dose","","","Select","Select",""],["","","Abrysvo Act-O-Vial","","","Select","Select",""],["","","Clotrim\/Betameth Diprop 1\/0.05 % Cream Fou","","","Select","Select",""],["","","Advair Diskus","","","Select","Select",""],["","","Clotrim\/Betameth Diprop 1\/0.05 % Cream Tar","","","Select","Select",""],["","","Allopurinol","300 MG","","Select","Select",""],["","","Ezetimibe","10 MG","","Select","Select",""],["","","Losartan","100 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Spikevax","","","Select","Select",""],["","","Buspirone","15 MG","","Select","Select",""],["","","Amoxicillin\/Clav","875\/125 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":""}]}]}