{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Amelia Gomes","gend":1,"currentgend":"Female","add":"24 brockTon street ","city":"BROCKTON","state":"MA","zip":"02302","dob":"1989-01-20","age":37,"mstatus":"Single","insh":"C0003531100","cliId":"","pno":5088401879,"cno":"","email":"","ename":"paulino","eno":"7743606443","pphy":"Joel Clerville","ppno":7812146200,"pcpadd":"418 Belmont St,","pcpcity":"Brockton","pcpstate":"MA","pcpzip":"02301","pcpcounty":"","pcpid":"","pcpname":"iMedical365 InC","plan":"Wellsense Health Plan","program":"ACA","lob":"Commercial - MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"220 FOREST AVE","madd2":"","madd3":"","mcity":"BROCKTON","mstate":"MA","mzip":"02301","pcpfaxno":"","pcpnpi":1437702719,"currentgendcomment":"","pphycomment":"","uniqueid":60949100,"medicareid":"","medicaidid":"","pcpFlag":0},{"a":{"indx":["","","","1","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":[true,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R99","N979","Z3189","N978","Z3141"],"date":["2026-01-05","2025-11-04","2024-11-30","2024-11-27","2024-05-06"],"priorHcc":["","","","",""]}},{"a":[]}]},{"t":"COVID Screening","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","","1"],"comment":["","","","","","","","","","","","","",""],"sub":[]}}]},{"t":"Self-Assessment and Social History (SDOH)","q":[{"a":{"indx":["","","","1",""],"comment":["","","","",""],"sub":[]}},{"a":{"indx":["","",""],"comment":["","","","NONE"],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"score":[0,0,0,0]}},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"arr":["I am currently employed"],"comment":[]},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":["","","1"],"comment":["","",""],"score":[0,0,0,0]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]}]},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":["","1",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[["1","",""],["1","",""],["1","",""],["1","",""],["1","",""],["1","",""]]}]},{"t":"Medical History","q":[{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"index":1,"comment":"","sub":[]},{"a":[{"indx":["","1","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]},{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}]},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","","","","","","","","","","","","1"],"comment":["","","","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","","","","","","1"],"comment":["","","","","","","",""],"sub":[]}}]},{"t":"Family History","q":[{"index":0,"comment":"AM COFEINE ITCHT\nPAULINA\u2019\nM G\nF G\n5 4  137\nNO WORRIES\nHA TYLENOL\n","sub":[{"sa0":"Father","sa1":"GOOD","sa2":""},{"sa0":"Mother","sa1":"GOOD","sa2":""}]}]},{"t":"Preventive Care","q":[{"a":[[true,""],[true,""],[true,""],["",""],[true,""],["",""],["",""],[true,""],["",""],[true,""],["",""],["",""],["",""],["",""],{"comment":""}]},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}},{"a":{"indx":["","","1"],"comment":["","",""],"sub":[]}}]},{"t":"Allergies \/ Medications","q":[{"a":{"index":0,"commentTxt":"","arr":[["CODIENE","HIVES"]]}},{"a":{"comment":"","sub":[["","","LETROZOLE","","","Select","Select",""],["","","OVIDREL","","","Select","Select",""],["","","LEUPROLIDE ACETATE","","","Select","Select",""],["","","MENOPUR","","","Select","Select",""],["","","CETRORELIX ACETATE","","","Select","Select",""],["","","GONAL-F RFF REDI-JECT","","","Select","Select",""],["","","CHORIONIC GONADOTROPIN","","","Select","Select",""]]}},{"a":{"index":0,"commentTxt":"","arr":[["2026-05-01","TYLENOL","1","PO = By Mouth","PRN"]]}},{"a":{"indx":["1"],"comment":[],"sub":{"indx":[],"comment":[""],"sub":[]}}},{"a":[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}}]},{"t":"Assessment of Diagnoses","q":[{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false,false],"comment":["","","","","","","","",""],"score":["","","","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false,false],"comment":["","","","","","","",""],"score":["","","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":["1","","",""],"comment":["","","",""],"sub":[]}},{"a":{"indx":["","","","","","1"],"comment":["","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1","",""],"comment":["","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""],"comment":["INTERMITTANT HEADACHES","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}],"phq":[{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"indx":["1","","",""],"comment":["","","",""],"sub":[]},{"subGroup":[{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","",""],"comment":["","","",""]},{"indx":["","","","","",""],"comment":["","","","","","",""]},{"indx":["","","","","",false],"comment":[""]}]}]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","","","","","","1","","","",""],"comment":["","","","","","","","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[{"indx":["1",""],"comment":["",""],"sub":[{"indx":["","1",""],"comment":["","",""],"sub":[[],[{"indx":["NO CURRENT MEDS, HAD BEEN ON MEDICATIONS"],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}],[]]},{"indx":[],"comment":[],"sub":[]}]}]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},{"indx":["","","","","1"],"comment":["","","","",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]}]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[{"indx":["",""],"comment":["",""],"sub":[]}]}},{"a":{"indx":[false,false,false,false,false,false],"comment":["","","","","",""],"score":["","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[{"indx":[],"comment":[],"sub":[]},{"indx":[],"comment":[],"sub":[]},null,{"indx":[],"comment":[],"sub":[]}],"subgroup":[]}},{"a":{"indx":[false,false,false,false,false,false,false],"comment":["","","","","","",""],"score":["","","","","","",""]}},{"a":[{"indx":["","1"],"comment":["","",""],"sub":[]}]},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Pain","q":[{"a":{"indx":["1",""],"comment":["",""],"sub":[[{"indx":["1",""],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]},{"indx":["","1"],"comment":["",""],"sub":[]}]]}}]},{"t":"Vital Signs","q":[{"a":["","","","","","0","",false,false,false,false,true]},{"a":["5","4","137","23.5",{"txt":""},{"malnutrition":{"indx":["","","1",""],"sub":{"indx":[],"comment":[],"sub":[]}}}]},{"a":{"indx":["","","","","","","","","","","1",""],"comment":["","","","","","","","","","","","",""],"sub":{"indx":[],"comment":[],"sub":[]}}},{"a":{"indx":["1","","","","",""],"comment":["","","","","",""],"sub":[]}},{"arr":["At least 30 minutes 5 or more days a week."],"comment":[]},{"arr":["I am not interested at this time."],"comment":[]},{"a":{"indx":["","","","","","","","","1"],"comment":["","","","","","","","","",""],"sub":[]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Exam Review","q":[{"a":[{"indx":["",true],"comment":["VIRTUAL",""],"sub":[]},{"indx":[true,""],"comment":["VIRTUAL",""],"sub":[]},{"indx":["",""],"comment":["VIRTUAL",""],"sub":[]},{"indx":["",""],"comment":["VIRTUAL",""],"sub":[]},{"indx":["",""],"comment":["VIRTUAL",""],"sub":[]},{"indx":["",false],"comment":["VIRTUAL",""],"sub":[]},{"indx":[""],"comment":["VIRTUAL"],"sub":[]},{"indx":[true,""],"comment":["VIRTUAL",""],"sub":[]},{"indx":[true,""],"comment":["VIRTUAL",""],"sub":[]},{"indx":[true,""],"comment":["VIRTUAL",""],"sub":[]},{"indx":[true,""],"comment":["VIRTUAL",""],"sub":[]}]},{"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":{"indx":[false,false,false],"comment":["","",""],"score":["","",""]}}]},{"t":"Mini-Cog","q":[{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":{"data":["","1","","3","2","5"],"indx":[true,false,false,false,false,false,true,false,false,false,false,false,true,false,false,false,false,false],"version":[true,false,false,false,false,false]}},{"a":{"indx":[false,false,false,false,false],"comment":["","","","",""],"score":["","","","",""]}}]},{"t":"Home Safety & Personal Goals","q":[{"a":{"indx":["1","","","",""],"comment":["","","","",""],"score":[0,0,0,0]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":["7"]},{"a":[]},{"a":{"indx":[false,false],"comment":["",""],"score":["",""]}},{"a":{"indx":[true,true,true,true,true],"comment":["","","","",""],"score":["","","","",""]}},{"a":{"indx":[false],"comment":[""],"score":[""]}},{"a":["NOTHING"]},{"arr":["I am not interested at this time."],"comment":[]},{"a":{"indx":["","","","","","","1","","","",""],"comment":["","","","","","","","","","","",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}}]},{"t":"Active Problem Conditions","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"2026-05-22T13:45","a3":"","a4":"","a5":"true","a6":"","a7":[],"a8":"","a9":"Virtual","a10":[],"a11":"true","a12":"true","a13":"true","a14":"","a16":"true","a18":"true","a20":"true","a21":"true"}]}]}