{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Murrough H Obrien","gend":0,"currentgend":"","add":"149 CONCORD ST","city":"PORTLAND","state":"ME","zip":"04103","dob":"1945-07-23","age":"","mstatus":"","insh":"10000074586","cliId":"","pno":"2077734046","cno":"","email":"Murrough.h.obrien@gmail.com","ename":"","eno":"","pphy":"FRASER, ROBERT J","ppno":"2077745816","pcpadd":"100 FODEN RD. W,SUITE 203","pcpcity":"SOUTH PORTLAND","pcpstate":"ME","pcpzip":"41066143","pcpcounty":"","pcpid":"","pcpname":"INTERMED","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"149 CONCORD ST","madd2":"","madd3":"","mcity":"PORTLAND","mstate":"ME","mzip":"04103","pcpfaxno":"2078741483","pcpnpi":"1134206352","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8Q17R32DE63","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I10","E7800","E1159","Z0001","I2510","I700","I7143","E1169","Z0000","M7741","M7742","M2021","M2022","R634","I493","I4819","I441","M5416","I129","N189","E785","M47812","I340","R519","J8410","Z950","I517","I7789","M542","M549","M5431","M6281","I25810","I252","M353","R0602","R059","I499","N281","R599","I3481","I5020","I5189","R001","I4891","I4439","M5432","R918","M51360","M47817","Z1211","D122","Z860101","D123","D696","I498","N1831","Z23","R531","D649","R7982","R002","J189","E119","D485","L570","L578","L814"],"date":["2025-01-21","2024-07-29","2026-02-03","2024-08-05","2025-08-05","2024-12-20","2025-06-26","2024-12-05","2025-09-05","2024-02-21","2024-02-21","2024-02-21","2024-02-21","2025-08-29","2026-01-26","2025-09-05","2025-01-21","2025-06-11","2025-06-11","2025-06-11","2025-06-11","2025-08-15","2024-12-20","2025-08-15","2026-02-03","2026-03-04","2024-12-20","2024-12-20","2025-08-15","2025-08-15","2025-08-08","2025-08-08","2025-12-16","2025-01-21","2026-02-03","2024-12-19","2024-12-19","2024-12-19","2025-08-29","2025-08-29","2025-06-27","2025-06-27","2025-06-27","2025-01-06","2025-06-20","2025-01-21","2025-06-26","2024-12-19","2025-06-11","2025-06-11","2025-06-02","2025-06-02","2025-06-02","2025-06-02","2024-12-05","2025-06-20","2024-12-05","2025-10-23","2025-08-26","2025-08-26","2025-10-30","2025-03-29","2025-03-28","2023-03-14","2023-03-08","2023-03-08","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":[["","","GAVILYTE-G","","","Select","Select",""],["","","CAPVAXIVE","","","Select","Select",""],["","","ROSUVASTATIN","40 MG","","Select","Select",""],["","","METOPROLOL TART","25 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","PREDNISONE","5 MG","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","CEFPODOXIME","200 MG","","Select","Select",""],["","","LISINOPRIL","30 MG","","Select","Select",""],["","","SPIKEVAX","","","Select","Select",""],["","","METFORMIN","500 MG","","Select","Select",""],["","","NITROGLYCERIN","0.4 MG","","Select","Select",""],["","","GABAPENTIN","300 MG","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","HYDROCODONE\/ACETAMINOPHEN","5\/325 MG","","Select","Select",""],["","","METOPROLOL SUCC","25 MG","","Select","Select",""],["","","METHYLPREDNISOLONE","4 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":""}]}]}