{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Deborah A Carter","gend":1,"currentgend":"","add":"89 PRESIDENT ST","city":"LYNN","state":"MA","zip":"01902","dob":"1964-01-17","age":"","mstatus":"","insh":"C0027744000","cliId":"","pno":"7819410642","cno":"","email":"","ename":"","eno":"","pphy":"Meaghan C Kearns","ppno":"7815933400","pcpadd":"480 Lynnfield St","pcpcity":"Lynn","pcpstate":"MA","pcpzip":"01904","pcpcounty":"","pcpid":"","pcpname":"North Shore Physicians Group, Inc.","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"89 PRESIDENT ST","madd2":"","madd3":"","mcity":"LYNN","mstate":"MA","mzip":"01902","pcpfaxno":"","pcpnpi":"1265752539","currentgendcomment":"","pphycomment":"","uniqueid":"134007450","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":["R99","J4489","E119","I10","F064","J45901","A6000","U071","N898","R87619","E6601","Z6842","N870","R87810","B977","Z0000","E782","I700","F419","N900","M79646","E66813","B351","L304","F410","Z23","D649","D72829","Z87891","K1121","J069","K3189","K449","R12","D123","Z1211","K5520","R195","K5730","K640","K648","Z860100","D509","Z1231","N766","B9689","Z90710","B3731","H00022","Z6841","J441","R070","R0981","R519","K219","J449","M65342","Z803","R92323","J0100","E7800","R718","M654","K649","J440","J209","D122","K6389","K635","J111","M25562","H6503","N9089","Z122","R918","Z1151","Z01419","R87610","R921","R059","M1812","M1811","M79674","M79675","R0683","N905","N952","Z124","M19049"],"date":["2026-05-31","2026-04-01","2026-03-23","2026-03-15","2026-05-11","2025-11-11","2026-01-12","2026-02-20","2025-07-07","2025-10-03","2025-10-03","2025-10-23","2025-10-03","2025-10-03","2025-10-03","2025-11-05","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-10-23","2025-12-16","2025-11-07","2025-11-07","2025-11-25","2025-11-25","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2026-02-19","2026-03-26","2025-07-17","2025-07-17","2025-07-07","2025-07-17","2025-10-01","2025-10-01","2025-11-11","2026-02-20","2025-11-11","2025-11-11","2025-11-17","2026-02-20","2026-03-06","2026-03-26","2026-03-26","2025-03-26","2025-05-15","2024-11-13","2024-12-03","2024-11-18","2024-12-03","2024-12-03","2024-12-31","2024-12-31","2024-12-31","2025-02-13","2025-03-06","2025-03-26","2025-04-16","2025-05-22","2025-05-22","2025-06-30","2025-06-30","2025-06-30","2024-09-18","2024-11-12","2024-11-27","2024-11-27","2025-01-16","2025-01-16","2025-01-27","2025-04-16","2025-04-16","2025-06-30","2024-11-27"],"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":[["","","ALBUTEROL SULFATE","","","Select","Select",""],["","","PAROXETINE HCL","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","OLMESARTAN MEDOXOMIL","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","GLIMEPIRIDE","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","NYSTATIN","","","Select","Select",""],["","","TOPIRAMATE","","","Select","Select",""],["","","TRELEGY ELLIPTA","","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","HYDROCORTISONE","","","Select","Select",""],["","","GAVILYTE-G","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","VALACYCLOVIR","","","Select","Select",""],["","","LIDOCAINE","","","Select","Select",""],["","","PAXLOVID","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","TRULICITY","","","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":""}]}]}