{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Gregory M Milliken","gend":0,"currentgend":"","add":"62 MCKENNEY RD","city":"SACO","state":"ME","zip":"04072","dob":"1952-11-09","age":"","mstatus":"","insh":"10000062959","cliId":"","pno":"2079290828","cno":"","email":"1989CAMPERg30@GMAIL.COM","ename":"","eno":"","pphy":"HORNE, JENNIFER L","ppno":"2079737979","pcpadd":"43 WHITING HILL RD,SUITE 300","pcpcity":"BREWER","pcpstate":"ME","pcpzip":"44121005","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":"62 MCKENNEY RD","madd2":"","madd3":"","mcity":"SACO","mstate":"ME","mzip":"04072","pcpfaxno":"2079479579","pcpnpi":"1174903694","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1U80MU8KJ24","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G4731","G4733","G4737","R0683","I70213","B351","M79674","M79675","L84","R262","M79671","I10","F321","Z0000","Z87891","Z79899","M85852","M8588","E785","M79651","M51360","M4856XA","M438X5","A7749","R2689","M25552","D696","M47816","M419","M4850XA","G8929","J449","Z1211","K5730","I77819","M47818","F419","M533","A419","R42","Z0100","R509","R531","L4050","A7982","R918","Z96611","Z96612","J988","A000","B349","K8020","N281","I739","Z0001","R000","L570","I77810","I351","M069","D84821","L600","L400","R202","L578","M79672","J45909","R200"],"date":["2025-03-10","2025-01-27","2023-04-13","2023-04-13","2024-07-15","2024-06-17","2024-06-17","2024-06-17","2023-10-09","2023-10-09","2023-10-09","2025-12-15","2023-06-01","2025-11-14","2024-08-16","2023-11-09","2024-02-26","2024-02-26","2025-12-15","2025-03-10","2025-03-10","2025-03-10","2025-03-10","2024-09-16","2024-08-29","2024-08-29","2024-08-29","2025-07-28","2025-05-12","2025-05-12","2025-05-12","2025-03-10","2025-01-27","2025-01-27","2024-12-09","2024-08-16","2025-01-27","2024-08-16","2024-08-07","2025-07-22","2025-01-13","2024-08-09","2025-02-20","2024-08-09","2024-08-09","2025-02-20","2025-02-20","2025-02-20","2025-02-20","2024-08-13","2025-02-20","2024-08-09","2024-08-09","2025-12-08","2024-11-11","2024-08-07","2025-07-28","2025-12-15","2025-12-15","2025-07-20","2024-07-15","2023-03-09","2023-03-14","2023-03-14","2023-03-14","2023-03-09","2023-03-08","2023-03-08"],"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":[["","","HYDROCODONE\/ACETAMINOPHEN","10\/325 MG","","Select","Select",""],["","","ATORVASTATIN","10 MG","","Select","Select",""],["","","SERTRALINE","50 MG","","Select","Select",""],["","","METHOTREXATE","2.5 MG","","Select","Select",""],["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","Triamcinolone Acet 0.1 % Cream Fougera","","","Select","Select",""],["","","METOPROLOL TART","25 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","100 MG","","Select","Select",""],["","","MELOXICAM","15 MG","","Select","Select",""],["","","BENAZEPRIL","20 MG","","Select","Select",""],["","","Triamcinolone Acet 0.1 % Cream Encube","","","Select","Select",""],["","","FLUTICASONE FUR\/VILANTEROL","100\/25 MCG","","Select","Select",""],["","","AMOXICILLIN","500 MG","","Select","Select",""],["","","BREO ELLIPTA","","","Select","Select",""],["","","ABRYSVO W\/ DILUENT SYRINGE","","","Select","Select",""],["","","Betamethasone Diprop Aug 0.05 % Cream Taro","","","Select","Select",""],["","","Nystatin 100","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","TRIAMCINOLONE ACET","0.001","","Select","Select",""],["","","BETAMETHASONE DIPROP AUG","0.0005","","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":""}]}]}