{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Timothy T Simpson","gend":0,"currentgend":"","add":"57 RAFNELL ST","city":"AUBURN","state":"ME","zip":"04210","dob":"1958-04-20","age":"","mstatus":"","insh":"10000106625","cliId":"","pno":"2073317676","cno":"","email":"TSIMPSON.FLOME@GMAIL.COM","ename":"","eno":"","pphy":"DECKER, CHRISTOPHER C","ppno":"2077958475","pcpadd":"272 CONGRESS ST,","pcpcity":"PORTLAND","pcpstate":"ME","pcpzip":"41013637","pcpcounty":"","pcpid":"","pcpname":"MINOT AVENUE FAMILY MEDICINE","plan":"Martin's Point","program":"Medicare","lob":"GA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"57 RAFNELL ST","madd2":"","madd3":"","mcity":"AUBURN","mstate":"ME","mzip":"04210","pcpfaxno":"2077958490","pcpnpi":"1871023127","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"8FQ4NH0QN61","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["J449","E8801","G4734","M5416","R918","R0989","R0902","J441","J9601","J9602","J4531","J986","R0600","J9811","I2720","R7989","Z136","Z0389","D1801","L821","Z1211","D122","I872","J9611","J45909","R0689","D751","I87323","R2243","J984","J309","Z0000","S20462A","W57XXXA","Z0101","M549","J45901","I10","M542","J111","R509","J4489","J101","B9789","Z8709","Z7689","J4550","K8020","K760","R10A2","R300","R1032","N132","N200","M5450","H40013","H2513","R5383","R52","R7982","N201"],"date":["2026-02-17","2024-09-03","2023-10-04","2023-04-14","2023-05-06","2023-05-06","2026-02-17","2023-05-06","2023-05-06","2023-05-06","2023-05-06","2025-08-12","2025-04-18","2023-05-15","2023-05-15","2023-05-15","2023-05-06","2023-05-22","2023-06-30","2023-06-30","2023-07-19","2023-07-19","2023-11-27","2026-02-11","2024-09-03","2023-12-20","2023-10-04","2023-11-07","2023-11-07","2025-08-12","2024-08-21","2025-04-11","2024-04-19","2024-04-19","2025-08-25","2024-05-28","2025-04-18","2025-12-16","2025-12-12","2025-01-25","2025-02-06","2024-08-21","2025-02-06","2025-01-25","2025-01-25","2025-01-28","2025-08-12","2026-02-27","2025-12-16","2025-12-16","2025-12-16","2025-12-16","2025-12-16","2026-02-27","2026-02-27","2025-09-10","2025-09-10","2025-07-10","2025-07-10","2025-07-10","2026-01-05"],"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":[["","","FLUTICASONE PROP","50 MCG","","Select","Select",""],["","","DOXYCYCLINE MONOHYDRATE","100 MG","","Select","Select",""],["","","OXYCODONE HCL","5 MG","","Select","Select",""],["","","VALACYCLOVIR","1 GM","","Select","Select",""],["","","Cyclobenzaprine","10 MG","","Select","Select",""],["","","PREDNISONE","10 MG","","Select","Select",""],["","","OSELTAMIVIR","75 MG","","Select","Select",""],["","","ALBUTEROL\/IPRATROPIUM","3\/0.5 MG\/3","","Select","Select",""],["","","Spikevax 2023-2024","","","Select","Select",""],["","","MNEXSPIKE","","","Select","Select",""],["","","FLUZONE HIGH-DOSE","","","Select","Select",""],["","","PAXLOVID","300\/100 MG","","Select","Select",""],["","","Peg 3350\/Electrolytes","420 GM","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","FLUZONE HIGH DOSE","","","Select","Select",""],["","","CEPHALEXIN","500 MG","","Select","Select",""],["","","Triamcinolone Acet 0.1 % Cream Ascend Labs","","","Select","Select",""],["","","ONDANSETRON","4 MG","","Select","Select",""],["","","SPIKEVAX","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","ALBUTEROL HFA","90 MCG","","Select","Select",""],["","","TAMSULOSIN","0.4 MG","","Select","Select",""],["","","AMLODIPINE","2.5 MG","","Select","Select",""],["","","AMOXICILLIN","875 MG","","Select","Select",""],["","","INCRUSE ELLIPTA","","","Select","Select",""],["","","HYDROCODONE\/ACETAMINOPHEN","5\/325 MG","","Select","Select",""],["","","Fluad Quad 2023-2024","","","Select","Select",""],["","","BUDESONIDE\/FORMOTEROL","160\/4.5 MCG","","Select","Select",""],["","","AMOXICILLIN\/CLAV","875\/125 MG","","Select","Select",""],["","","AZITHROMYCIN","250 MG","","Select","Select",""],["","","TRIAMCINOLONE ACET","0.001","","Select","Select",""],["","","FLUAD QUAD","","","Select","Select",""],["","","PEG","3350\/ELECTROLYTES 420","","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":""}]}]}