{
  "patient_mrn": 36204,
  "generated_at": "2026-04-28T05:24:57.578189Z",
  "n_chunks": 28,
  "chunks": [
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage",
      "source_id": "36204",
      "timestamp": "04/27/2026",
      "provider": "Rhett J. Drugge, M.D.",
      "location": "New Canaan, CT",
      "measurement_type": "demographics_fm",
      "value": "Jamie Schlim, DOB 05/07/1997, ZIP 06840",
      "stamp": "04/27/2026 | prov: Rhett J. Drugge, M.D. | loc: New Canaan, CT | src: FileMaker:HomePage",
      "content": "FileMaker HomePage: Jamie Schlim, DOB 05/07/1997, address 182 W HILLS RD, New Canaan CT 06840, phone 2039667257\r\r2039797072\r, email kschlim@optonline.net. Insurance: $40 co-pay. Allergies: ."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch1",
      "source_id": "36204_epoch_1",
      "timestamp": "05/12/2017",
      "provider": "Rhett J. Drugge, M.D.",
      "location": null,
      "measurement_type": "visit_epoch_1",
      "value": "date=05/12/2017, biopsy_out=, CPT=99203 Office Consult",
      "stamp": "05/12/2017 | prov: Rhett J. Drugge, M.D. | src: FileMaker:HomePage.epoch1",
      "content": "Visit epoch 1 (A1): date=05/12/2017, biopsy out date=, physician=Rhett J. Drugge, M.D., CPT info: 99203 Office Consult."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch2",
      "source_id": "36204_epoch_2",
      "timestamp": "05/23/2019",
      "provider": "Rhett Drugge, M.D.",
      "location": null,
      "measurement_type": "visit_epoch_2",
      "value": "date=05/23/2019, biopsy_out=, CPT=99213 Return Visit96904 Whole Body Integumentary Photography",
      "stamp": "05/23/2019 | prov: Rhett Drugge, M.D. | src: FileMaker:HomePage.epoch2",
      "content": "Visit epoch 2 (A2): date=05/23/2019, biopsy out date=, physician=Rhett Drugge, M.D., CPT info: 99213 Return Visit96904 Whole Body Integumentary Photography."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch3",
      "source_id": "36204_epoch_3",
      "timestamp": "05/21/2020",
      "provider": "Rhett Drugge, M.D.",
      "location": null,
      "measurement_type": "visit_epoch_3",
      "value": "date=05/21/2020, biopsy_out=, CPT=96904 Whole Body Photography",
      "stamp": "05/21/2020 | prov: Rhett Drugge, M.D. | src: FileMaker:HomePage.epoch3",
      "content": "Visit epoch 3 (A3): date=05/21/2020, biopsy out date=, physician=Rhett Drugge, M.D., CPT info: 96904 Whole Body Photography."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch4",
      "source_id": "36204_epoch_4",
      "timestamp": "06/10/2020",
      "provider": "Rhett Drugge, M.D.",
      "location": null,
      "measurement_type": "visit_epoch_4",
      "value": "date=06/10/2020, biopsy_out=, CPT=99213 Return Visit",
      "stamp": "06/10/2020 | prov: Rhett Drugge, M.D. | src: FileMaker:HomePage.epoch4",
      "content": "Visit epoch 4 (A4): date=06/10/2020, biopsy out date=, physician=Rhett Drugge, M.D., CPT info: 99213 Return Visit."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch5",
      "source_id": "36204_epoch_5",
      "timestamp": "09/01/2020",
      "provider": "Rhett Drugge, MD",
      "location": null,
      "measurement_type": "visit_epoch_5",
      "value": "date=09/01/2020, biopsy_out=09/01/2020, CPT=11102 Biopsy first Tangential",
      "stamp": "09/01/2020 | prov: Rhett Drugge, MD | src: FileMaker:HomePage.epoch5",
      "content": "Visit epoch 5 (A5): date=09/01/2020, biopsy out date=09/01/2020, physician=Rhett Drugge, MD, CPT info: 11102 Biopsy first Tangential."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch6",
      "source_id": "36204_epoch_6",
      "timestamp": "09/15/2020",
      "provider": "Rhett Drugge, MD",
      "location": null,
      "measurement_type": "visit_epoch_6",
      "value": "date=09/15/2020, biopsy_out=, CPT=99212 Return Visit",
      "stamp": "09/15/2020 | prov: Rhett Drugge, MD | src: FileMaker:HomePage.epoch6",
      "content": "Visit epoch 6 (A6): date=09/15/2020, biopsy out date=, physician=Rhett Drugge, MD, CPT info: 99212 Return Visit."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.epoch7",
      "source_id": "36204_epoch_7",
      "timestamp": "05/07/2025",
      "provider": "Rhett Drugge, MD",
      "location": null,
      "measurement_type": "visit_epoch_7",
      "value": "date=05/07/2025, biopsy_out=, CPT=99203 Office Visit96904 Whole Body Integumentary Photography",
      "stamp": "05/07/2025 | prov: Rhett Drugge, MD | src: FileMaker:HomePage.epoch7",
      "content": "Visit epoch 7 (A7): date=05/07/2025, biopsy out date=, physician=Rhett Drugge, MD, CPT info: 99203 Office Visit96904 Whole Body Integumentary Photography."
    },
    {
      "patient_mrn": 36204,
      "source": "FileMaker:HomePage.summary",
      "source_id": "36204",
      "timestamp": "04/27/2026",
      "provider": "Rhett J. Drugge, M.D.",
      "location": null,
      "measurement_type": "current_summary",
      "value": "(see content)",
      "stamp": "04/27/2026 | prov: Rhett J. Drugge, M.D. | src: FileMaker:HomePage.summary",
      "content": "CC: I am here for SCAN.  Location: ENTIRE BODY.\rHPI:  This 28 year old single female's Occupation is STUDENT.  She was born on May 7, 1997.  Likely cause of condition known? N/A.  Symptoms include: head is itchy, dry, flaky, sometimes crusty or scabby..  Past Treatment: no.  Tests: N/A | PE: 5\\' 8\\\" tall | weighs 125 lbs | blonde hair, blue eyes.\rMedical Conditions: Weight: n/c | Skin: scalp itching, flaking | Head: n/c | Eyes: n/c | Ears:  | Nose: a few times a year get colds and nasal stuffiness | Mouth: a couple sore throats a year | Neck: n/c | Breast/Chest: n/c | Respiratory: a couple coughs a year | Cardiac: n/c | GI: n/c | Urinary: n/c | Musculoskeletal: n/c | Ge/Reproductive: on bc pills | Peripheral Vascular: n/c | Neurological: n/c | Psychiatric: n/c | Endocrine: n/c | Hematologic: n/c\rMedications Being Taken:   (1) minastine fe  - daily for birth control - Started: 2015 | Allergies to Medications:NKDA | Anticoagulants (NSAIDs, Vitamin E)? No\rFMH:  (1) Mother | Aged ? | breast cancer  (2) Grandfather | Aged ? | melanoma  (3) Aunt | Aged ? | melanoma, breast cancer | Diabetes (Family): No | Skin Cancer (Family): Yes - Was it Melanoma? Yes\rPMH:  NONE | Smoking:  | Sun Exposure: played softball in high school | Skin Cancer Risk: Moderate | Skin Cancer (Personal): No\rUser: claude_api - 4/28/2026 1:24:18 AM"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2026-05-08",
      "timestamp": "2026-05-08",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=1, comments=SCAN",
      "stamp": "2026-05-08 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2026-05-08: type=1, comments=SCAN"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2026-05-08",
      "timestamp": "2026-05-08",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=SCAN RESULTS",
      "stamp": "2026-05-08 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2026-05-08: type=0, comments=SCAN RESULTS"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-05-07",
      "timestamp": "2025-05-07",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=1, comments=Scan",
      "stamp": "2025-05-07 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-05-07: type=1, comments=Scan"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-05-07",
      "timestamp": "2025-05-07",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=Scan results",
      "stamp": "2025-05-07 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-05-07: type=0, comments=Scan results"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2024-11-25",
      "timestamp": "2024-11-25",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=1, comments=scan - sick",
      "stamp": "2024-11-25 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2024-11-25: type=1, comments=scan - sick"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2024-11-25",
      "timestamp": "2024-11-25",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=scan results, will reschedule",
      "stamp": "2024-11-25 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2024-11-25: type=0, comments=scan results, will reschedule"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2020-09-15",
      "timestamp": "2020-09-15",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=facetime fu on biopsy",
      "stamp": "2020-09-15 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2020-09-15: type=0, comments=facetime fu on biopsy"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2020-09-01",
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=dermoscopy images",
      "stamp": "2020-09-01 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2020-09-01: type=0, comments=dermoscopy images"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2020-06-10",
      "timestamp": "2020-06-10",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=facetime fu on scan ",
      "stamp": "2020-06-10 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2020-06-10: type=0, comments=facetime fu on scan "
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2020-05-21",
      "timestamp": "2020-05-21",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=2, comments=DERMVAN",
      "stamp": "2020-05-21 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2020-05-21: type=2, comments=DERMVAN"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2019-05-23",
      "timestamp": "2019-05-23",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=fu on scan ",
      "stamp": "2019-05-23 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2019-05-23: type=0, comments=fu on scan "
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:patient_appointments",
      "source_id": "2019-05-23",
      "timestamp": "2019-05-23",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=1, comments=scan",
      "stamp": "2019-05-23 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2019-05-23: type=1, comments=scan"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": "Right medial lower leg",
      "measurement_type": "pathology_lab",
      "value": "dx=SKIN, RIGHT MID LOWER LEG, SHAVE BIOPSY:ATYPICAL JUNCTIONAL MELANOCYTIC PROLIFER",
      "stamp": "2020-09-01 | loc: Right medial lower leg | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site Right medial lower leg: Dx=SKIN, RIGHT MID LOWER LEG, SHAVE BIOPSY:ATYPICAL JUNCTIONAL MELANOCYTIC PROLIFERATIONNOTE: THE HISTOLOGIC SECTIONS DEMONSTRATE A POORLY NESTED PROLIFERATION OF ATYPICALEPITHELIOID MELANOCYTES WHICH ARE PRESENT AT ALL LEVELS OF THE EPIDERMIS AS HIGHLIGHTED BYMART-1 IMMUNOSTAIN EXAMINED  LYMPHOHISTIOCYTIC INFLAMMATION IS PRESENT UNDERLYING THELESIONTHIS IS A SMALL LESION YET EXHIBITS ENOUGH ARCHITECTURAL AND CYTOLOGIC ATYPIA THAT IT ISWORRISOME FOR A PRECURSOR LESIONTHIS PROCESS IS LOCATED WITHIN LESS THAN 1 MM FROM THE CLOSEST LATERAL EDGE AND ACONSERVATIVE RE-EXCISION TO ENSURE AGAINST LOCAL PERSISTENCE/RECURRENCE MAY BE CONSIDERED; Impression=RULE OUT MM; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 36204,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2020-09-01",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2020-09-01 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2020-09-01, site None: Dx=None; Impression=TBU; Accession=None"
    }
  ]
}