{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"Troy A Lowe","gend":0,"currentgend":"","add":"51 VAN DEENE AVE","city":"W SPRINGFIELD","state":"MA","zip":"01089","dob":"1986-01-09","age":"","mstatus":"","insh":"C0025447500","cliId":"","pno":4133060807,"cno":"","email":"","ename":"","eno":"","pphy":"Cyril Joseph","ppno":4137348254,"pcpadd":"175 Carew St,Ste 200","pcpcity":"Springfield","pcpstate":"MA","pcpzip":"01104","pcpcounty":"","pcpid":"","pcpname":"Riverbend Medical Group,Inc","plan":"Wellsense Health Plan","program":"ACA","lob":"ACA - Rollover - Wave 1","region":"","aligned":"","ano":"","add2":"APT A3","add3":"","madd1":"51 VAN DEENE AVE","madd2":"APT A3","madd3":"","mcity":"W SPRINGFIELD","mstate":"MA","mzip":"01089","pcpfaxno":"","pcpnpi":1720156615,"currentgendcomment":"","pphycomment":"","uniqueid":109000550,"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","Z940","I10","A419","D62","E8339","E875","R6521","Z1152","D84821","E8352","F419","I319","I4891","I4892","I5181","T8619","N170","J398","J930","I129","N184","J90","J9851","K223","J9601","R17","R7401","N179","T451X5A","E8720","D539","Z8719","Z8709","Z79621","Z7952","Z7969","N186","N051","B0111","T82510A","I120","D631","Z7984","D649","D509","E212","I509","J948","I770","Z5181","A4189","E43","G9341","Z9911","J9311","B9689","B3789","J939","D849","T8610","Z79899","G8918","R079","R0602","I499","E878","J869","I309","N269","R801","J986","R000","R9431","T378X5A","N1419","T451X1A","J982","Z98890","B999","Z4682","J9811","J181","Z0389","Z992"],"date":["2025-12-30","2025-12-03","2025-10-27","2024-04-06","2024-02-06","2024-02-06","2024-06-29","2024-05-06","2024-02-06","2024-06-29","2024-06-29","2025-10-09","2024-02-06","2024-02-06","2024-06-14","2024-02-06","2024-06-29","2024-05-06","2024-02-06","2024-02-06","2024-02-06","2024-02-06","2024-12-06","2024-12-06","2024-12-06","2024-05-06","2024-02-06","2024-02-06","2024-12-06","2024-06-30","2024-06-29","2024-06-29","2024-06-29","2024-06-30","2024-06-29","2024-06-29","2024-06-29","2025-10-09","2024-10-07","2024-10-07","2025-10-09","2025-10-09","2025-10-09","2024-06-02","2024-06-02","2024-04-17","2024-04-17","2024-03-06","2024-12-06","2024-03-06","2024-12-06","2024-05-06","2024-05-06","2024-04-06","2024-04-06","2024-05-06","2024-07-06","2024-12-06","2024-02-06","2024-02-06","2024-12-06","2024-08-10","2024-02-06","2024-02-06","2024-06-13","2024-12-06","2024-06-29","2024-11-06","2024-06-13","2024-06-28","2024-10-07","2024-11-06","2024-12-06","2024-06-16","2024-06-30","2024-06-29","2024-06-29","2024-02-06","2024-11-06","2024-10-06","2024-07-06","2024-11-06","2024-06-26","2024-06-06","2025-10-09"],"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":[["","","MYCOPHENOLIC ACID","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","FLUCONAZOLE","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","AMIODARONE HCL","","","Select","Select",""],["","","CARVEDILOL","","","Select","Select",""],["","","FOLIC ACID","","","Select","Select",""],["","","LOKELMA","","","Select","Select",""],["","","ENVARSUS XR","","","Select","Select",""],["","","NIFEDIPINE ER","","","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":""}]}]}