{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michael J Urany","gend":0,"currentgend":"","add":"6 JAMES AVE","city":"NAHANT","state":"MA","zip":"01908","dob":"1974-07-24","age":"","mstatus":"","insh":"C0031541400","cliId":"","pno":"7815810866","cno":"","email":"","ename":"","eno":"","pphy":"Miadette  Pheng-Phal","ppno":"7817807755","pcpadd":"280 Union St, Ste 402","pcpcity":"Lynn","pcpstate":"MA","pcpzip":"01901","pcpcounty":"","pcpid":"","pcpname":"Byron Medical Group, LLC","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"6 JAMES AVE","madd2":"","madd3":"","mcity":"NAHANT","mstate":"MA","mzip":"01908","pcpfaxno":"","pcpnpi":"1073044616","currentgendcomment":"","pphycomment":"","uniqueid":"141611800","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":["K6030","K50113","K611","Z79620","Z0389","S00259A","Z23","Z122","F17210","R918","E569","E039","E782","T24201A","M25521","Z01818","I444","R001","Z724","R29818","F988","E559","K6050","K610","G4733","E66812","E6601","R7303","Z2821","E538","J029","Z0000","Z1211","Z87898","K760","G479","F17200","R911","R99","F17290","E785","Z6838","Z98890","Z79890","K5010","L0390","Z0189","M25532","G8929","N281","R1901","G4730","L03211","Z6841","R030","Z7689","Z77120","R5383","Z113","M931","M19032","S0590XA","X58XXXA","R051","H6121","M65832","R600","J101","L0591","L988","L02425","T1592XD","T1502XA"],"date":["2026-03-27","2026-04-04","2026-02-07","2026-04-04","2025-12-24","2025-12-24","2026-03-03","2026-03-20","2026-03-20","2026-03-20","2026-03-10","2026-05-08","2026-05-08","2025-07-02","2025-07-02","2025-11-12","2025-07-14","2025-07-14","2025-12-16","2025-07-14","2025-07-14","2026-02-19","2025-08-11","2025-10-30","2026-05-15","2025-09-25","2025-09-25","2025-11-06","2025-10-30","2025-11-06","2026-01-30","2026-02-19","2026-02-19","2026-02-19","2026-02-19","2026-03-10","2026-03-31","2026-03-31","2026-02-11","2025-07-31","2025-11-19","2025-08-12","2025-08-12","2025-08-12","2025-11-19","2025-01-06","2025-02-06","2025-05-21","2025-02-10","2025-03-04","2025-05-04","2025-05-02","2024-12-26","2024-12-26","2025-01-16","2025-01-06","2025-01-16","2025-02-06","2025-01-16","2025-05-21","2025-01-31","2025-02-06","2025-02-06","2025-02-06","2025-02-06","2025-02-10","2025-02-10","2025-02-10","2025-04-09","2025-02-18","2025-02-18","2025-05-22","2025-05-08"],"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":[["","","CEPHALEXIN","","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","ERYTHROMYCIN","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","NALOXONE HCL","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","NICOTINE PATCH","","","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":""}]}]}