{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"James R Roderick","gend":0,"currentgend":"","add":"10 BRADFORD AVE","city":"SCITUATE","state":"MA","zip":"02066","dob":"1969-09-16","age":"","mstatus":"","insh":"C0002765000","cliId":"","pno":7817332189,"cno":"","email":"","ename":"","eno":"","pphy":"Michele Masse","ppno":5088101980,"pcpadd":"28 Riverside Dr,Ste 150","pcpcity":"Pembroke","pcpstate":"MA","pcpzip":"02359","pcpcounty":"","pcpid":"","pcpname":"Blue Heron Primary Care PLLC","plan":"Wellsense Health Plan","program":"ACA","lob":"ACA - Rollover - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"10 BRADFORD AVE","madd2":"","madd3":"","mcity":"SCITUATE","mstate":"MA","mzip":"02066","pcpfaxno":"","pcpnpi":1386426583,"currentgendcomment":"","pphycomment":"","uniqueid":59107850,"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":["E559","D649","D509","E785","F1020","R739","R9720","E039","R140","E538","J4540","Z9109","R053","F1291","Z7729","J329","I517","K219","H35029","I10","I341","I493","I7120","R072","F411","R42","E871","R059","Z572","E673","R7303","R0982","J45909","L858","M79671","M79672","E6609","E66812","S4991XD","I080","I77810","M2391","M2392","M23321","M1711","M23322","M1712","S83241A","S83242A","I119","I77819","R634"],"date":["2025-06-01","2025-09-05","2025-06-01","2025-09-24","2025-09-05","2025-06-01","2025-06-01","2025-06-01","2025-06-01","2025-09-05","2025-10-02","2025-10-02","2025-10-02","2025-10-02","2025-10-02","2025-10-02","2025-05-02","2025-05-02","2025-05-02","2025-08-15","2025-05-02","2025-05-02","2025-05-02","2025-05-02","2025-05-02","2025-05-02","2025-05-02","2025-04-04","2025-04-04","2025-09-05","2025-09-05","2025-08-15","2025-08-15","2025-08-20","2025-08-20","2025-08-20","2025-08-20","2025-08-15","2025-08-15","2025-08-18","2025-11-18","2025-08-27","2025-08-27","2025-03-09","2025-03-09","2025-03-09","2025-03-09","2025-09-15","2025-09-15","2025-09-24","2025-09-24","2025-09-24"],"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":[["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","ESCITALOPRAM OXALATE","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","BUPROPION HCL SR","","","Select","Select",""],["","","VALSARTAN","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","ZEPBOUND","","","Select","Select",""],["","","BREO ELLIPTA","","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","VITAMIN D2","","","Select","Select",""],["","","CHLORTHALIDONE","","","Select","Select",""],["","","FOLIC ACID","","","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":""}]}]}