{
  "patient_mrn": 40806,
  "generated_at": "2026-04-28T05:25:44.036557Z",
  "n_chunks": 39,
  "chunks": [
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage",
      "source_id": "40806",
      "timestamp": "04/27/2026",
      "provider": "Rhett Drugge, M.D",
      "location": "Stamford, CT",
      "measurement_type": "demographics_fm",
      "value": "Yvette Scaturchio, DOB 09/23/1966, ZIP 06905",
      "stamp": "04/27/2026 | prov: Rhett Drugge, M.D | loc: Stamford, CT | src: FileMaker:HomePage",
      "content": "FileMaker HomePage: Yvette Scaturchio, DOB 09/23/1966, address 795 HIGH RIDGE RD, Stamford CT 06905, phone -\r\r2032731171\r, email yscaturchio@yahoo.com. Insurance: $50 CoPay. Allergies: NKDA . ."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch1",
      "source_id": "40806_epoch_1",
      "timestamp": "10/25/2021",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_1",
      "value": "date=10/25/2021, biopsy_out=, CPT=99203 Office Visit96904 Whole Body Photography",
      "stamp": "10/25/2021 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch1",
      "content": "Visit epoch 1 (A1): date=10/25/2021, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 99203 Office Visit96904 Whole Body Photography."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch2",
      "source_id": "40806_epoch_2",
      "timestamp": "12/17/2021",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_2",
      "value": "date=12/17/2021, biopsy_out=, CPT=99213 Return Visit96574 Photodynamic TherapyJ7345 AMELUZ   70621-101-01",
      "stamp": "12/17/2021 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch2",
      "content": "Visit epoch 2 (A2): date=12/17/2021, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 99213 Return Visit96574 Photodynamic TherapyJ7345 AMELUZ   70621-101-01."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch3",
      "source_id": "40806_epoch_3",
      "timestamp": "12/17/2021",
      "provider": "",
      "location": null,
      "measurement_type": "visit_epoch_3",
      "value": "date=12/17/2021, biopsy_out=, CPT=17110  Destruction skin up to 14",
      "stamp": "12/17/2021 | src: FileMaker:HomePage.epoch3",
      "content": "Visit epoch 3 (A3): date=12/17/2021, biopsy out date=, physician=, CPT info: 17110  Destruction skin up to 14."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch4",
      "source_id": "40806_epoch_4",
      "timestamp": "01/17/2022",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_4",
      "value": "date=01/17/2022, biopsy_out=, CPT=99212 Return Visit",
      "stamp": "01/17/2022 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch4",
      "content": "Visit epoch 4 (A4): date=01/17/2022, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 99212 Return Visit."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch5",
      "source_id": "40806_epoch_5",
      "timestamp": "04/13/2023",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_5",
      "value": "date=04/13/2023, biopsy_out=, CPT=99213 Return Visit",
      "stamp": "04/13/2023 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch5",
      "content": "Visit epoch 5 (A5): date=04/13/2023, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 99213 Return Visit."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch6",
      "source_id": "40806_epoch_6",
      "timestamp": "04/19/2023",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_6",
      "value": "date=04/19/2023, biopsy_out=04/19/2023, CPT=17263  Mlg Dest 2-3 cm",
      "stamp": "04/19/2023 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch6",
      "content": "Visit epoch 6 (A6): date=04/19/2023, biopsy out date=04/19/2023, physician=Rhett Drugge, M.D, CPT info: 17263  Mlg Dest 2-3 cm."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch7",
      "source_id": "40806_epoch_7",
      "timestamp": "05/10/2023",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_7",
      "value": "date=05/10/2023, biopsy_out=, CPT=96904 Whole Body Photography99213 Return Visit",
      "stamp": "05/10/2023 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch7",
      "content": "Visit epoch 7 (A7): date=05/10/2023, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 96904 Whole Body Photography99213 Return Visit."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.epoch8",
      "source_id": "40806_epoch_8",
      "timestamp": "05/17/2023",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "visit_epoch_8",
      "value": "date=05/17/2023, biopsy_out=, CPT=17311 Mohs-head neck handsfeetgenitalia17312  2ND Mohs-FACE14021  Adjacent tissue transfer or rearrangement scalp arms and/or legs; defect 10.1 sq cm to 30.0 sq cm",
      "stamp": "05/17/2023 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.epoch8",
      "content": "Visit epoch 8 (A8): date=05/17/2023, biopsy out date=, physician=Rhett Drugge, M.D, CPT info: 17311 Mohs-head neck handsfeetgenitalia17312  2ND Mohs-FACE14021  Adjacent tissue transfer or rearrangement scalp arms and/or legs; defect 10.1 sq cm to 30.0 sq cm."
    },
    {
      "patient_mrn": 40806,
      "source": "FileMaker:HomePage.summary",
      "source_id": "40806",
      "timestamp": "04/27/2026",
      "provider": "Rhett Drugge, M.D",
      "location": null,
      "measurement_type": "current_summary",
      "value": "(see content)",
      "stamp": "04/27/2026 | prov: Rhett Drugge, M.D | src: FileMaker:HomePage.summary",
      "content": "CC: I am here for FOLLOW UP ON SCAN, PDT, BROWN SPOTS.  Location: FACE.\rHPI:  This 59 year old married female's Occupation is SR. EXEC. ASST..  She was born on September 23, 1966.  She has a history of this present illness for April 2023.  Likely cause of condition known? no.  Symptoms include: no symptoms with no.  Past Treatment: No.  Tests: Yes, in this office | PE: 5' 7\" tall | weighs 145 lbs | blonde hair, blue eyes.\rMedical Conditions: Weight: n/c | Skin: Occassional rashes under breasts | Head: n/c | Eyes: Poor vision | Ears: n/c | Nose: Occasional sinus issues | Mouth: n/c | Neck: no | Breast/Chest: n/c | Respiratory: n/c | Cardiac: n/c | GI: n/c | Urinary: n/c | Musculoskeletal: Backache | Ge/Reproductive: n/c | Peripheral Vascular: Yes, nerve pain | Neurological: Tingling toes and pain in legs and back | Psychiatric: n/c | Endocrine: s - went through extreme sweating - pooling from head to toe but not menopause. now only in neck | Hematologic: n/c\rMedications Being Taken:   (1) None  -  for  - Started:  | Allergies to Medications:  (1) NKDA causes  | Anticoagulants (NSAIDs, Vitamin E)? No\rFMH:  (1) None | Aged 2022 |  | Diabetes (Family): No | Skin Cancer (Family): No\rPMH:  back pain, temperature control, and sweating in neck area. | Smoking: Yes | Sun Exposure: No | Skin Cancer Risk: Low | Skin Cancer (Personal): No\rUser: claude_api - 4/28/2026 1:25:04 AM"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-05-09",
      "timestamp": "2025-05-09",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=follow up on scan, pdt, brown spots",
      "stamp": "2025-05-09 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-05-09: type=0, comments=follow up on scan, pdt, brown spots"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-04-25",
      "timestamp": "2025-04-25",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=follow up on scan, pdt",
      "stamp": "2025-04-25 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-04-25: type=0, comments=follow up on scan, pdt"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-04-11",
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=biopsy",
      "stamp": "2025-04-11 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-04-11: type=0, comments=biopsy"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2025-04-04",
      "timestamp": "2025-04-04",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=AREA OF CONCERN TO NOSE",
      "stamp": "2025-04-04 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2025-04-04: type=0, comments=AREA OF CONCERN TO NOSE"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-06-02",
      "timestamp": "2023-06-02",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=Suture removal",
      "stamp": "2023-06-02 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-06-02: type=0, comments=Suture removal"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-05-23",
      "timestamp": "2023-05-23",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=check on healing site",
      "stamp": "2023-05-23 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-05-23: type=0, comments=check on healing site"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-05-17",
      "timestamp": "2023-05-17",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=Mohs",
      "stamp": "2023-05-17 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-05-17: type=0, comments=Mohs"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-05-17",
      "timestamp": "2023-05-17",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=MOHS",
      "stamp": "2023-05-17 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-05-17: type=0, comments=MOHS"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-05-17",
      "timestamp": "2023-05-17",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=MOHS",
      "stamp": "2023-05-17 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-05-17: type=0, comments=MOHS"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-05-10",
      "timestamp": "2023-05-10",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=check on healing wound",
      "stamp": "2023-05-10 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-05-10: type=0, comments=check on healing wound"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-04-19",
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=excision",
      "stamp": "2023-04-19 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-04-19: type=0, comments=excision"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2023-04-13",
      "timestamp": "2023-04-13",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=spot check",
      "stamp": "2023-04-13 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2023-04-13: type=0, comments=spot check"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2022-01-17",
      "timestamp": "2022-01-17",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=FU",
      "stamp": "2022-01-17 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2022-01-17: type=0, comments=FU"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2021-12-17",
      "timestamp": "2021-12-17",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=pdt",
      "stamp": "2021-12-17 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2021-12-17: type=0, comments=pdt"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:patient_appointments",
      "source_id": "2021-10-25",
      "timestamp": "2021-10-25",
      "provider": null,
      "location": null,
      "measurement_type": "appointment",
      "value": "type=0, comments=check up on the face and chest",
      "stamp": "2021-10-25 | src: MySQL:patient_appointments",
      "content": "Scheduled appointment 2021-10-25: type=0, comments=check up on the face and chest"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": "left nasal sidewall",
      "measurement_type": "pathology_lab",
      "value": "dx=HYPERTROPHIC ACTINIC KERATOSIS",
      "stamp": "2025-04-11 | loc: left nasal sidewall | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site left nasal sidewall: Dx=HYPERTROPHIC ACTINIC KERATOSIS; Impression=BASAL CELL CARCINOMA; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2025-04-11",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2025-04-11 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2025-04-11, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": "Right dorsal forearm",
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | loc: Right dorsal forearm | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site Right dorsal forearm: Dx=None; Impression=SQUAMOUS CELL CARCINOMASKIN, RIGHT DORSAL FOREARM, ELECTRODESICCATION AND CURETTAGE:INVASIVE SQUAMOUS CELL CARCINOMA, WELL DIFFERENTIATED, INVOLVING SPECIMEN MARGINS NOTE: THE LESION EXTENDS TO A DEPTH OF AT LEAST 4 MM; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=4/26/2023 SPOKE TO PT RV 1 MONTH; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=TBU; Accession=None"
    },
    {
      "patient_mrn": 40806,
      "source": "MySQL:SNDPathData_Exported",
      "source_id": null,
      "timestamp": "2023-04-19",
      "provider": null,
      "location": null,
      "measurement_type": "pathology_lab",
      "value": "dx=",
      "stamp": "2023-04-19 | src: MySQL:SNDPathData_Exported",
      "content": "Pathology lab report 2023-04-19, site None: Dx=None; Impression=TBU; Accession=None"
    }
  ]
}