{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Linda M Thibeault","gend":1,"currentgend":"","add":"14 MAGNOLIA DR","city":"OLD ORCHARD BEACH","state":"ME","zip":"04064","dob":"1953-07-29","age":"","mstatus":"","insh":"10000063224","cliId":"","pno":"9709894122","cno":"","email":"lindatbo@gmail.com","ename":"","eno":"","pphy":"STEELE, ERIK N","ppno":"","pcpadd":"PO BOX 9746,","pcpcity":"PORTLAND","pcpstate":"ME","pcpzip":"41045040","pcpcounty":"","pcpid":"","pcpname":"MARTINS POINT HEALTH CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"14 MAGNOLIA DR","madd2":"","madd3":"","mcity":"OLD ORCHARD BEACH","mstate":"ME","mzip":"04064","pcpfaxno":"2078287850","pcpnpi":"1538176789","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"4R20WW2VK19","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E785","E039","I10","M542","M5412","M47812","M4802","Z1231","M8589","M5450","M5136","M47816","M4316","M5459","M9901","M50320","M9903","I6523","G8194","I639","Z87891","Z23","M5116","M4726","M4317","S32010A","N281","M8580","M25552","M25571","S82891E","Z1211","Z800","Z860101","K635","D367","L918","L821","M2012","S82891A","Z0101","H25011","H52223","H524","D122","M5416","Z01818","M5117","M810","S82831D","J209","Z8781","G8929","S82851B","M859","W19XXXA","G8918","S82891B","R569","S82841A","S82841B","S82851D"],"date":["2025-08-14","2026-03-09","2025-05-20","2023-09-13","2023-08-28","2023-06-27","2023-08-28","2025-12-18","2023-06-30","2025-12-02","2023-08-07","2023-08-07","2025-04-04","2025-06-10","2023-09-13","2023-09-13","2023-09-13","2023-09-25","2023-09-25","2023-09-25","2025-08-14","2025-11-18","2023-10-15","2023-10-15","2023-10-15","2023-10-15","2023-11-18","2025-09-16","2025-06-10","2026-02-24","2026-02-24","2025-03-12","2025-03-12","2025-03-12","2025-03-12","2026-01-13","2026-01-13","2026-01-13","2024-11-18","2025-11-06","2024-09-09","2024-09-09","2024-09-09","2024-09-09","2025-03-12","2025-04-04","2025-08-14","2025-04-04","2025-09-16","2026-01-07","2025-04-22","2025-12-02","2025-12-02","2025-08-14","2025-08-14","2025-08-14","2025-08-14","2025-08-18","2025-08-14","2025-08-14","2025-08-14","2025-11-06"],"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":[["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","AMOXICILLIN","500 MG","","Select","Select",""],["","","Cyclobenzaprine","10 MG","","Select","Select",""],["","","LEVOTHYROXINE","112 MCG","","Select","Select",""],["","","ALENDRONATE","70 MG","","Select","Select",""],["","","ALPRAZOLAM","0.25 MG","","Select","Select",""],["","","LOSARTAN","50 MG","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","PREDNISONE","20 MG","","Select","Select",""],["","","Chlorhexidine 0.12 % Oral Rinse Xttrium","","","Select","Select",""],["","","SIMVASTATIN","20 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","Gavilyte-N","","","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":{"indx":[["","","","",""],[],[""],[""],[""],[""],[""],[""]],"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":""}]}]}