{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Jenna N Lawson","gend":1,"currentgend":"","add":"52 WESTWOOD DR","city":"DARTMOUTH","state":"MA","zip":"02747","dob":"2000-05-18","age":"","mstatus":"","insh":"C0034234000","cliId":"","pno":"5082070634","cno":"","email":"","ename":"","eno":"","pphy":"Joann  Chang","ppno":"5089739650","pcpadd":"1030 President Ave, Ste 1001","pcpcity":"Fall River","pcpstate":"MA","pcpzip":"02720","pcpcounty":"","pcpid":"","pcpname":"Southcoast Physicians Group, Inc","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"52 WESTWOOD DR","madd2":"","madd3":"","mcity":"DARTMOUTH","mstate":"MA","mzip":"02747","pcpfaxno":"","pcpnpi":"1477083061","currentgendcomment":"","pphycomment":"","uniqueid":"146643000","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":["R519","D225","L821","R350","N760","N898","Z202","M533","R1020","M5442","M5441","K6289","F32A","F410","F411","F605","Z30011","Z0000","K5010","F4001","F3181","E559","Z87891","R000","R0602","R5383","R42","I951","E876","R99","B379","B3731","K5000","K2970","K2289","K2950","K121","K5090","Z1152","R197","K920","R070","K219","Z8669","Z8719","K2900","Z113","Z124","R002","F17210","Z20822","F319","R079","F429","F329","Z3041","Z3202","B081","Z23","F3342","E66811","Z556","Z599","Z91842","Z6832","Z7188","Z713","R238","Z0100","R87612","L720","L739","L0889","M722","M79672","R0789"],"date":["2025-09-30","2025-10-09","2025-10-09","2025-10-23","2026-03-25","2026-02-08","2025-12-29","2025-12-04","2025-12-04","2025-12-04","2025-12-04","2026-05-28","2026-04-21","2026-04-21","2026-04-21","2026-04-21","2026-02-05","2026-03-19","2026-03-19","2026-03-19","2026-04-15","2026-03-19","2026-04-14","2026-04-15","2026-04-14","2026-04-14","2026-04-14","2026-04-14","2026-04-14","2026-05-05","2025-10-25","2026-05-22","2025-08-11","2025-08-11","2025-08-11","2025-08-11","2026-04-16","2026-04-14","2026-04-14","2026-05-02","2025-07-28","2025-07-31","2025-07-31","2025-07-31","2025-07-31","2025-08-11","2024-11-19","2025-03-31","2025-05-22","2025-05-22","2025-04-26","2025-04-26","2025-05-22","2024-12-17","2025-02-11","2024-11-19","2024-11-19","2025-06-02","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-03-17","2025-04-15","2025-03-26","2025-03-31","2025-04-15","2025-06-02","2025-04-15","2025-04-24","2025-04-24","2025-05-22"],"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":[["","","BLISOVI 24 FE","","","Select","Select",""],["","","METRONIDAZOLE","","","Select","Select",""],["","","BUSPIRONE HCL","","","Select","Select",""],["","","IMIQUIMOD","","","Select","Select",""],["","","LAMOTRIGINE","","","Select","Select",""],["","","ARIPIPRAZOLE","","","Select","Select",""],["","","LANSOPRAZOLE","","","Select","Select",""],["","","SUCRALFATE","","","Select","Select",""],["","","MESALAMINE","","","Select","Select",""],["","","PROPRANOLOL HCL","","","Select","Select",""],["","","FLUCONAZOLE","","","Select","Select",""],["","","SLYND","","","Select","Select",""],["","","FLUVOXAMINE MALEATE","","","Select","Select",""],["","","BUDESONIDE ER","","","Select","Select",""],["","","PREDNISONE","","","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":""}]}]}