{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Ryleigh Arseneau","gend":1,"currentgend":"","add":"19 Shaw St","city":"Braintree","state":"MA","zip":"02184","dob":"1998-08-16","age":"","mstatus":"","insh":"C0042326400","cliId":"","pno":"5088588538","cno":"","email":"","ename":"","eno":"","pphy":"Sarah G Murphy","ppno":"7819340060","pcpadd":"95 Tremont St, Ste 10","pcpcity":"Duxbury","pcpstate":"MA","pcpzip":"02332","pcpcounty":"","pcpid":"","pcpname":"Medical Care of Boston Management Corp.","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 2","region":"","aligned":"","ano":"","add2":"C","add3":"","madd1":"19 Shaw St","madd2":"C","madd3":"","mcity":"Braintree","mstate":"MA","mzip":"02184","pcpfaxno":"","pcpnpi":"1861473258","currentgendcomment":"","pphycomment":"","uniqueid":"159383950","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":["O368130","Z3A37","Z131","O365920","O359XX0","Z3A27","O26892","N898","O365930","O283","O365990","O365933","O321XX0","O35AXX0","Q828","Z3A28","O359XX1","O285","O3519X0","O365993","Z3A29","O358XX0","Z3483","O76","Z3A40","Z370","R0789","M549","R002","G8929","R001","O132","O364XX0","Z3A32","Z371","B009","L710","J0100","R99","R21","O99891","Z3A20","O288","Z3A25","R519","H539","Z3A26","Z3A30","Z392","Z3A31","O99344","O134","F419","O165","T490X5A","Z3689","O43113","O35BXX0","O43112","Z3A21","O368320","Q270","Z3A24","O99512","J069","O365992"],"date":["2026-04-01","2026-04-01","2026-04-01","2026-03-23","2026-04-06","2026-03-23","2026-02-09","2026-02-06","2026-04-13","2026-04-14","2026-04-13","2026-03-30","2026-03-30","2026-04-06","2026-04-06","2026-04-01","2026-04-13","2026-04-13","2026-04-24","2026-04-06","2026-04-06","2026-04-14","2026-04-13","2026-04-29","2026-04-29","2026-04-29","2026-05-03","2026-05-03","2026-05-08","2026-05-03","2026-05-08","2026-05-08","2026-05-01","2026-05-01","2026-05-01","2026-01-06","2026-02-05","2026-03-25","2026-05-31","2026-01-08","2026-04-01","2026-03-25","2026-03-09","2026-03-09","2026-03-17","2026-04-01","2026-03-17","2026-04-13","2026-05-03","2026-04-29","2026-04-29","2026-04-29","2026-04-29","2026-05-06","2026-01-08","2026-01-20","2026-03-16","2026-02-11","2026-03-16","2026-02-11","2026-03-09","2026-03-02","2026-03-02","2026-03-25","2026-03-25","2026-03-16"],"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":[["","","VALACYCLOVIR","","","Select","Select",""],["","","METRONIDAZOLE","","","Select","Select",""],["","","CLINDAMYCIN PHOSPHATE","","","Select","Select",""],["","","NITROFURANTOIN MONO-MACRO","","","Select","Select",""],["","","HYDROCORTISONE","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","LORAZEPAM","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","ARIPIPRAZOLE","","","Select","Select",""],["","","TRAMADOL 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":""}]}]}