{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Sharon O Kinney","gend":1,"currentgend":"","add":"213 SHADAGEE RD","city":"SKOWHEGAN","state":"ME","zip":"04976","dob":"1954-10-17","age":"","mstatus":"","insh":"10000075323","cliId":"","pno":"2074504157","cno":"","email":"Sharonkinney849@gmail.com","ename":"","eno":"","pphy":"HILL, ASHLEY M","ppno":"2074740905","pcpadd":"Redington Medical Primary Care, 46 Fairview Ave Ste 111","pcpcity":"Skowhegan","pcpstate":"ME","pcpzip":"04976","pcpcounty":"","pcpid":"","pcpname":"REDINGTON MEDICAL PRIMARY CARE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"213 SHADAGEE RD","madd2":"","madd3":"","mcity":"SKOWHEGAN","mstate":"ME","mzip":"04976","pcpfaxno":"2074746930","pcpnpi":"1164914529","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6KH3QU3KM94","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M1651","S7291XK","V2999XD","M21371","M25661","Z01812","S7291XA","Z0000","L84","M9701XD","Z4789","M6701","Z01818","M24574","Z471","Z96641","Z4802","I10","M159","G6289","M25572","M21179","G8929","M79651","M19071","M978XXD","Z96649","M21171","T84124A","R0989","K219","E785","S72301A","S7290XD","M7989","S72301D","L600","E7800","M25551","Z09","S72331A","M84351K","M25579","Z1231"],"date":["2025-09-05","2026-05-22","2026-05-22","2026-05-22","2026-05-22","2025-03-18","2025-12-19","2026-06-02","2026-05-18","2026-07-01","2026-06-22","2025-10-15","2025-03-18","2025-10-15","2025-12-16","2026-04-10","2025-12-30","2026-02-05","2025-01-16","2025-01-16","2025-09-15","2025-09-15","2025-09-15","2025-11-21","2025-09-15","2026-04-07","2026-04-07","2025-09-30","2025-11-28","2025-02-26","2025-09-30","2026-02-05","2025-12-16","2026-06-12","2026-06-22","2026-01-29","2025-01-13","2024-12-31","2025-03-03","2026-04-10","2026-04-07","2025-12-03","2026-03-09","2025-07-09"],"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":[["","","Metoprolol Succ","25 MG","","Select","Select",""],["","","Tramadol","50 MG","","Select","Select",""],["","","Famotidine","20 MG","","Select","Select",""],["","","Ammonium Lac 12 % Lotion Taro","","","Select","Select",""],["","","Dexamethasone","4 MG","","Select","Select",""],["","","Rosuvastatin","10 MG","","Select","Select",""],["","","Oxycodone Hcl","5 MG","","Select","Select",""],["","","Cephalexin","500 MG","","Select","Select",""],["","","Hydroxyzine Hcl","25 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":{"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":""}]}]}