{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"James A Trainor","gend":0,"currentgend":"","add":"45 PATTERSON ST","city":"Augusta","state":"ME","zip":"04330","dob":"1956-12-26","age":"","mstatus":"","insh":"10000096710","cliId":"","pno":"2075573436","cno":"","email":"","ename":"","eno":"","pphy":"MCDONALD, JULIA","ppno":"2076261561","pcpadd":"Maine Dartmouth Family Medicine,149 North St Dept Family Med","pcpcity":"Waterville","pcpstate":"ME","pcpzip":"04901","pcpcounty":"","pcpid":"","pcpname":"MAINE DARTMOUTH FAMILY MEDICINE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"45 PATTERSON ST","madd2":"","madd3":"","mcity":"Augusta","mstate":"ME","mzip":"04330","pcpfaxno":"2076261902","pcpnpi":"1477849073","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5FE4A09XU77","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N1330","N134","R9341","N400","M19012","M25512","R918","R509","R4182","G319","Z452","Z4682","R059","R410","D72829","D72828","D649","D696","N179","J189","N139","A419","I4891","R9431","A403","K269","B3781","K5730","K648","K635","K921","G9341","R6521","N320","Z466","N401","N138","R3915","R350","N184","Z8701","D509","R000","I959","E875","R338","Z0001","Z638","N2581","R7881","R339","D123","D122","I440","I4720","R768","N289","N19","N1830","N323"],"date":["2023-10-30","2023-10-27","2023-10-27","2024-01-08","2023-10-24","2023-10-24","2023-10-26","2023-10-24","2023-10-25","2023-10-25","2023-10-27","2023-10-30","2023-10-30","2023-10-27","2023-10-25","2023-10-25","2024-03-26","2023-10-25","2023-12-11","2023-12-29","2024-03-26","2023-10-31","2023-10-30","2023-10-30","2023-10-30","2023-11-01","2023-11-01","2024-02-09","2023-11-07","2024-02-09","2023-11-01","2023-10-30","2023-10-30","2024-01-08","2024-01-04","2024-05-01","2024-01-10","2024-05-01","2023-12-01","2024-01-18","2023-11-16","2024-01-18","2024-02-15","2023-12-11","2023-11-30","2024-05-01","2024-01-08","2024-01-08","2024-01-26","2023-10-25","2024-05-01","2024-02-09","2024-02-09","2024-02-21","2024-02-21","2024-03-15","2024-03-18","2024-03-15","2024-03-26","2024-05-14"],"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",""],["","","Lokelma","","","Select","Select",""],["","","Peg 3350\/Electrolytes","420 GM","","Select","Select",""],["","","Fluconazole","100 MG","","Select","Select",""],["","","Calcitriol","0.25 MCG","","Select","Select",""],["","","Shingrix","","","Select","Select",""],["","","Tamsulosin","0.4 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":""}]}]}