{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Michaela E Lydon","gend":1,"currentgend":"","add":"8 NEWBURY DR","city":"PEMBROKE","state":"MA","zip":"02359","dob":"1985-09-24","age":"","mstatus":"","insh":"C0034342100","cliId":"","pno":"3397933414","cno":"","email":"","ename":"","eno":"","pphy":"Katherine S Pacheco","ppno":"7817926000","pcpadd":"312 Bedford St","pcpcity":"Whitman","pcpstate":"MA","pcpzip":"02382","pcpcounty":"","pcpid":"","pcpname":"Revere Medical of Massachusetts, P.C.","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"8 NEWBURY DR","madd2":"","madd3":"","mcity":"PEMBROKE","mstate":"MA","mzip":"02359","pcpfaxno":"","pcpnpi":"1821025719","currentgendcomment":"","pphycomment":"","uniqueid":"146828000","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","S62101A","S52551A","S52571A","R791","Z79899","I10","E669","R7989","M9902","M4003","M9901","M50321","M50322","M50323","M9903","S134XXA","G44319","M2420","S233XXA","M129","S335XXA","M542","M546","M5450","Z0000","Z0001","E66811","Z6833","Z1231","Z1331","S0990XA","S3991XA","S3993XA","S3992XA","R202","V892XXA","S6991XA","S52571D","S52501A","N898","Z124","R87618","Z01419","R87810","Z98890","E663","D179","N879","Z0100"],"date":["2026-05-16","2025-10-09","2025-10-16","2026-01-27","2025-10-09","2025-10-09","2025-10-16","2025-10-16","2026-03-13","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-04-01","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-05","2026-02-11","2026-02-11","2026-02-11","2026-02-11","2026-02-11","2026-02-11","2025-10-09","2025-10-09","2025-10-09","2025-10-09","2025-10-09","2025-10-09","2025-10-09","2026-01-07","2025-10-16","2025-03-31","2025-03-31","2025-05-08","2025-02-03","2025-05-08","2025-05-08","2025-05-14","2025-05-14","2025-05-08","2025-05-12"],"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":[["","","APRI","","","Select","Select",""],["","","ZEPBOUND","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","OXYCODONE 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":""}]}]}