{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Lynne Flanagan","gend":1,"currentgend":"","add":"45 LINWOOD ST","city":"HOLBROOK","state":"MA","zip":"02343","dob":"1964-01-31","age":"","mstatus":"","insh":"C0027338500","cliId":"","pno":"7814137183","cno":"","email":"","ename":"","eno":"","pphy":"Shikha S Merchia","ppno":"7813564900","pcpadd":"501 John Mahar Hwy","pcpcity":"Braintree","pcpstate":"MA","pcpzip":"02184","pcpcounty":"","pcpid":"","pcpname":"Medical Care of Boston Management Corp.","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"45 LINWOOD ST","madd2":"","madd3":"","mcity":"HOLBROOK","mstate":"MA","mzip":"02343","pcpfaxno":"","pcpnpi":"1689648461","currentgendcomment":"","pphycomment":"","uniqueid":"132465400","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":["Z6827","N951","R99","E663","I10","E559","Z13220","Z131","R5383","Z0000","Z1331","Z1339","F419","F32A","G4733","F418","E669","H33313","Z6826","Z8639","H35373","H2513","Z6825","H5213","E66811","M1612","R351","Z1231","N6489","R0981","M25552","M7632","M7062","Z888","Z87891","Z973","Z20822","N760","B349","G4700","E6609","Z6832","R928","Z6831","Z6830","H25813"],"date":["2025-08-19","2026-05-05","2025-11-16","2026-02-20","2026-03-10","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-07-08","2025-08-05","2026-02-20","2025-08-05","2025-11-25","2026-02-20","2026-02-20","2025-11-25","2025-11-25","2025-12-11","2026-04-07","2025-06-20","2024-08-21","2024-10-17","2024-11-04","2024-12-11","2025-04-17","2024-10-03","2024-12-04","2024-10-03","2024-08-21","2024-08-21","2024-08-21","2024-09-09","2024-09-09","2024-11-23","2024-12-10","2024-12-10","2024-12-10","2024-12-11","2025-01-24","2025-03-04","2025-04-01"],"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":[["","","METRONIDAZOLE","","","Select","Select",""],["","","VENLAFAXINE HCL ER","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","WEGOVY","","","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":""}]}]}