{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Joseph A Michaud","gend":0,"currentgend":"","add":"168 LYMAN ST","city":"WESTBROOK","state":"ME","zip":"04092","dob":"1957-07-29","age":"","mstatus":"","insh":"10000097548","cliId":"","pno":"2077494439","cno":"","email":"joseph.michaud57@gmail.com","ename":"","eno":"","pphy":"EMERY, PETER","ppno":"2077745816","pcpadd":"100 FODEN RD WEST,STE 203","pcpcity":"SOUTH PORTLAND","pcpstate":"ME","pcpzip":"04106","pcpcounty":"","pcpid":"","pcpname":"INTERMED","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"168 LYMAN ST","madd2":"","madd3":"","mcity":"WESTBROOK","mstate":"ME","mzip":"04092","pcpfaxno":"2078741483","pcpnpi":"1649239765","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"3ET3NC6GA02","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z0100","R21","Z79899","H903","Z13220","Z0000","M109","Z0001","N401","R748","D649","D485","L590","Z0101","D122","Z86010","I7140","R9431","M5416","I480","K567","I7142","Z23","I2510","I4891","I4510","I700","R42","R55","L308","I4710","I493","Z452","J982","M48061","M5117","M4727","T8131XD","Z01818","I7143","F17219","T81321A","I358","R079","I951","Z7901","L281","Z48812","G8918","E871","J449","R0902","R188","L602","R262","R2689","G609","E785","F419"],"date":["2023-04-11","2025-08-28","2025-08-28","2023-09-22","2024-11-07","2026-01-27","2024-11-07","2024-11-14","2025-07-22","2023-12-19","2025-12-02","2024-01-18","2024-03-14","2025-05-22","2024-05-21","2024-05-21","2025-07-03","2025-06-12","2025-05-23","2025-04-30","2025-06-09","2025-06-06","2026-01-27","2025-03-03","2025-01-09","2025-01-09","2025-05-23","2025-01-15","2025-01-15","2024-01-18","2025-04-30","2025-01-14","2025-06-06","2025-06-06","2025-05-23","2025-05-23","2025-05-23","2025-08-02","2025-05-23","2025-06-30","2025-06-09","2025-06-11","2025-02-06","2024-11-14","2025-07-22","2025-07-22","2025-08-28","2025-06-17","2025-06-14","2025-06-06","2025-06-11","2025-06-15","2025-06-10","2025-06-20","2025-06-20","2025-06-20","2025-06-20","2025-06-11","2025-06-11"],"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",""],["","","Clobetasol 0.05 % Ointment Taro","","","Select","Select",""],["","","PROPRANOLOL","10 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","Fluocinonide 0.05 % Cream Cosette","","","Select","Select",""],["","","MYCOPHENOLATE","500 MG","","Select","Select",""],["","","FLUAD","","","Select","Select",""],["","","ESCITALOPRAM","20 MG","","Select","Select",""],["","","ALLOPURINOL","300 MG","","Select","Select",""],["","","TAMSULOSIN","0.4 MG","","Select","Select",""],["","","CLINDAMYCIN","150 MG","","Select","Select",""],["","","FLUOXETINE","40 MG","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","DUPIXENT","","","Select","Select",""],["","","Comirnaty 2023-2024","","","Select","Select",""],["","","COMIRNATY","","","Select","Select",""],["","","Boostrix","","","Select","Select",""],["","","Shingrix","","","Select","Select",""],["","","COLCHICINE","0.6 MG","","Select","Select",""],["","","ATORVASTATIN","20 MG","","Select","Select",""],["","","Clobetasol 0.05 % Ointment Encube","","","Select","Select",""],["","","Fluad Quad 2023-2024","","","Select","Select",""],["","","BACLOFEN","5 MG","","Select","Select",""],["","","ELIQUIS","","","Select","Select",""],["","","Fluocinonide 0.05 % Cream Teva","","","Select","Select",""],["","","METOPROLOL SUCC","25 MG","","Select","Select",""],["","","Prevident 5000 Booster Plus (Spearmint)","","","Select","Select",""],["","","CLOBETASOL","0.0005","","Select","Select",""],["","","FLUAD QUAD","","","Select","Select",""],["","","FLUOCINONIDE","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":""}]}]}