{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Kaley E Mcknight","gend":1,"currentgend":"","add":"20 CHESTNUT ST","city":"LEOMINSTER","state":"MA","zip":"01453","dob":"1997-10-15","age":"","mstatus":"","insh":"C0030793600","cliId":"","pno":"7742007276","cno":"","email":"","ename":"","eno":"","pphy":"Bart T Soar","ppno":"4133237700","pcpadd":"40 Turkey Hill Rd","pcpcity":"Belchertown","pcpstate":"MA","pcpzip":"01007","pcpcounty":"","pcpid":"","pcpname":"CD Practice Associates, Inc.","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"20 CHESTNUT ST","madd2":"","madd3":"","mcity":"LEOMINSTER","mstate":"MA","mzip":"01453","pcpfaxno":"","pcpnpi":"1013939636","currentgendcomment":"","pphycomment":"","uniqueid":"140376050","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","S39012D","F411","E559","Z113","Z0000","Z1331","Z124","Z2821","F331","F410","R55","I479","R42","Z8639","Z862","H6692","H6092","F17210","F332","R7689","D518","N943","I951","R5381","R5383","R41844","R4586","M5441","R32","Z59869","Z87898","F418","S39012A","S0011XA","F419","N920","D509","R350","R339","Z13220","Z7689","L309","B372","J069","R0989","R109","F17290","Z0100","S0511XA","R059","R1012"],"date":["2026-03-21","2025-12-19","2026-02-26","2026-01-21","2025-07-31","2025-07-31","2025-07-31","2025-07-31","2026-01-16","2025-07-31","2026-02-26","2025-07-31","2025-07-31","2025-07-31","2026-01-16","2026-01-16","2025-08-14","2025-08-14","2025-08-14","2026-02-26","2026-01-16","2026-01-16","2026-01-16","2025-11-05","2026-01-16","2026-01-16","2026-02-26","2026-02-26","2026-02-26","2026-02-26","2026-02-26","2026-02-26","2024-08-07","2024-09-23","2024-10-03","2024-10-03","2025-01-29","2025-01-29","2025-02-19","2025-02-19","2025-01-29","2025-01-29","2025-01-29","2025-01-29","2025-05-14","2025-05-14","2025-05-27","2025-05-27","2024-07-01","2024-10-03","2025-05-14","2025-05-27"],"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":[["","","DULOXETINE HCL","","","Select","Select",""],["","","LIDOCAINE","","","Select","Select",""],["","","METHOCARBAMOL","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","BUSPIRONE HCL","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","OFLOXACIN","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","NAPROXEN","","","Select","Select",""],["","","VITAMIN D2","","","Select","Select",""],["","","BUPROPION XL","","","Select","Select",""],["","","FLUOXETINE HCL","","","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":""}]}]}