{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Cheyanna Buford","gend":1,"currentgend":"","add":"90 PLYMOUTH DR","city":"NORWOOD","state":"MA","zip":"02062","dob":"1985-06-03","age":"","mstatus":"","insh":"C0008345100","cliId":"","pno":8578697711,"cno":"","email":"","ename":"","eno":"","pphy":"Kathryn Levasseur","ppno":6174252000,"pcpadd":"1601 Washington St,","pcpcity":"Boston","pcpstate":"MA","pcpzip":"02118","pcpcounty":"","pcpid":"","pcpname":"NeighborHealth Corporation","plan":"Wellsense Health Plan","program":"ACA","lob":"ACA - Rollover - Wave 1","region":"","aligned":"","ano":"","add2":"APT 2B","add3":"","madd1":"90 PLYMOUTH DR","madd2":"APT 2B","madd3":"","mcity":"NORWOOD","mstate":"MA","mzip":"02062","pcpfaxno":"","pcpnpi":1811364953,"currentgendcomment":"","pphycomment":"","uniqueid":67504600,"medicareid":"","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","","","1"],"comment":["","","","","","","",""],"sub":{"indx":[["No Ethnicity"]],"comment":[[""]],"sub":[]}}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K921","R194","D123","R1013","K3189","K2960","R590","E6601","Z6841","M6289","K581","K589","Z91030","M5412","Z0289","E519","K582","R198","M5442","M79641","M5441","M79642","G8929","K629","M5450","K2100","K635","Z1211","K5900","K5909","Z23","R278","R0789","N939","R319","D251","R0602","J984","J45901","N920","N921","Z87891","Z09","R071","T8332XD","K219","N840","D500","D649","Z124","D219","D259","Z30430","M5459","Z4889","N760","E66813","D250","N852","Z1239","R638","Z483","Z79899","Z8759","E669","D252","Z79818","D509","O4690","Z975","Z98890","F411","R635","R300","J45909","R1084","G5603","K5901","M5417","K648","K625","R99","S139XXD","J4520","G5602","G5601","M3500","Z713","Z7182","Z7982"],"date":["2024-12-04","2024-12-04","2024-12-04","2024-12-04","2024-12-04","2024-12-04","2024-07-05","2025-07-18","2025-09-17","2024-08-08","2024-06-17","2024-06-27","2025-06-01","2024-08-02","2024-12-07","2024-12-07","2024-12-07","2024-12-07","2024-12-19","2024-08-19","2024-12-19","2024-08-19","2025-01-27","2024-12-19","2025-01-27","2024-12-04","2024-12-04","2024-12-04","2024-11-09","2024-08-08","2025-09-22","2024-10-23","2024-10-14","2025-12-04","2024-10-14","2025-12-04","2024-10-14","2024-10-14","2025-07-18","2025-06-24","2025-06-01","2025-07-18","2024-10-14","2024-10-14","2024-10-14","2024-11-15","2025-06-01","2025-11-04","2024-10-30","2024-10-30","2024-10-30","2025-09-16","2025-06-01","2025-01-27","2025-11-20","2025-03-17","2025-09-17","2025-12-04","2025-03-03","2025-09-16","2025-09-17","2025-09-29","2025-11-04","2025-06-01","2025-06-01","2025-03-17","2025-07-17","2025-03-17","2025-05-23","2025-06-24","2025-06-24","2025-07-18","2025-09-17","2025-09-25","2025-03-11","2024-06-02","2024-08-02","2024-12-03","2024-01-03","2024-12-04","2024-08-04","2025-12-29","2024-11-15","2024-07-25","2024-08-02","2024-08-02","2024-07-05","2024-07-05","2024-07-05","2024-10-14"],"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":[["","","LACTULOSE","","","Select","Select",""],["","","LINZESS","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","MEDROXYPROGESTERONE ACETATE","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","NORETHINDRONE ACETATE","","","Select","Select",""],["","","EPINEPHRINE","","","Select","Select",""],["","","TRANEXAMIC ACID","","","Select","Select",""],["","","PHENTERMINE HCL","","","Select","Select",""],["","","NAPROXEN","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","HYDROMORPHONE HCL","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","ZEPBOUND","","","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":""}]}]}