{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Dawn M Chandler","gend":1,"currentgend":"","add":"28 HAZARD ST","city":"NEW BEDFORD","state":"MA","zip":"02740","dob":"1968-09-25","age":"","mstatus":"","insh":"C0004825500","cliId":"","pno":5088586563,"cno":"","email":"","ename":"","eno":"","pphy":"Alan J Weinshel","ppno":7749927499,"pcpadd":"275 Allen St,Ste 101","pcpcity":"New Bedford","pcpstate":"MA","pcpzip":"02740","pcpcounty":"","pcpid":"","pcpname":"Southcoast Cardiology LLC","plan":"Wellsense Health Plan","program":"ACA","lob":"ACA - Rollover - Wave 1","region":"","aligned":"","ano":"","add2":"APT 2","add3":"","madd1":"PO BOX 5","madd2":"","madd3":"","mcity":"FAIRHAVEN","mstate":"MA","mzip":"02719","pcpfaxno":"","pcpnpi":1164479143,"currentgendcomment":"","pphycomment":"","uniqueid":64105300,"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":["F32A","I728","M159","K219","F419","E559","J069","H6691","E7800","M26609","K5900","J45909","J09X2","E66812","R059","R99","R053","A3710","E66811","R079","R9431","R911","Z98890","R109","I748","Z1231","Z139","S3992XA","E782","G4733","J40","J329","Z1152","E6609","Z7189","Z7182","Z713","Z6834","R202","R0789","R0981","M25562","U071","Z01411","M06049","M069","Z6832","K760","Z1389","J309","E669","R7989","R300","N281","I2510","R0602","R200","R1012","K3184","N859","D509","N950","Z79899","R3915","Z8679","Z9049","N398","M533","J029","R030","Z6833","R1319","D126","Z20822","Z6836","E6601","R0989","K5909","D735","K5730","R197","M8580","Z13228","Z6837","E039","J989","R0982"],"date":["2024-05-02","2025-07-23","2024-02-20","2025-11-24","2025-10-29","2025-10-29","2024-08-21","2024-09-30","2025-11-22","2024-06-11","2025-10-22","2024-12-17","2024-12-17","2025-07-07","2025-07-23","2025-11-25","2025-04-08","2025-06-08","2025-10-29","2024-02-20","2025-07-25","2024-02-20","2024-02-20","2024-11-03","2024-11-03","2025-05-27","2024-05-23","2024-05-28","2025-10-29","2025-10-29","2025-07-25","2025-11-24","2025-07-25","2025-10-22","2025-10-22","2025-10-22","2025-10-22","2025-10-22","2025-11-24","2025-11-24","2025-11-24","2025-11-24","2025-11-24","2024-05-02","2024-05-02","2024-09-30","2025-04-03","2024-05-02","2024-05-02","2024-05-02","2024-06-11","2024-02-26","2024-02-22","2025-02-20","2024-02-20","2024-02-20","2024-02-20","2024-04-22","2024-03-20","2024-02-28","2024-03-20","2024-08-29","2024-06-11","2024-02-04","2024-02-04","2024-04-22","2024-10-05","2024-05-28","2025-07-23","2024-09-30","2024-09-30","2024-06-11","2024-06-11","2024-12-17","2025-01-23","2025-04-30","2024-12-17","2025-11-02","2025-02-20","2025-02-20","2025-04-03","2025-04-03","2025-04-03","2025-04-30","2025-07-25","2025-07-25","2025-04-08"],"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":[["","","ESCITALOPRAM OXALATE","","","Select","Select",""],["","","MENVEO A-C-Y-W-135-DIP","","","Select","Select",""],["","","BEXSERO","","","Select","Select",""],["","","IBUPROFEN","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","ALPRAZOLAM","","","Select","Select",""],["","","VITAMIN D2","","","Select","Select",""],["","","PREVNAR 20","","","Select","Select",""],["","","AZITHROMYCIN","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","LINZESS","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","OSELTAMIVIR PHOSPHATE","","","Select","Select",""],["","","BUPROPION HCL SR","","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","PHENTERMINE HCL","","","Select","Select",""],["","","BENZONATATE","","","Select","Select",""],["","","VENTOLIN HFA","","","Select","Select",""],["","","ALBUTEROL SULFATE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","PAXLOVID","","","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":""}]}]}