{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JESUS RODRIGUEZ-NAJERA","gend":0,"currentgend":"","add":"1162 EUDORA ST","city":"DENVER","state":"CO","zip":"80220","dob":"1949-09-14","age":"","mstatus":"","insh":101459243,"cliId":"","pno":"3033339142","cno":"3033339142","email":"","ename":"","eno":"","pphy":"MCMULLEN, KELLY E","ppno":7195931799,"pcpadd":"COLORADO SPRINGS RADIOLOGISTS PC,1390 KELLY JOHNSON BLVD","pcpcity":"COLORADO SPRINGS","pcpstate":"CO","pcpzip":"80901","pcpcounty":"","pcpid":"","pcpname":"LOWRY FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1162 EUDORA ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80220","pcpfaxno":7192653794,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101459243","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["Spanish Lrg Prt"]],"comment":[[]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["A419","M726","I10","E875","A4189","Z5181","E2740","M6281","N2589","N1830","B387","Z48810","I129","R600","E2749","H60391","K1120","H903","R531","A4101","R140","R1907","R7881","M7989","Z09","M5136","M8088XA","K2950","M869","H04123","R0789","E119","R630","K2930","H1131","N179","B389","I700","I081","Z0389","R197","J9811","J9859","H938X1","B950","L03211","R578","Z4659","D72829","I82611","I82612","Z4682","R000","R918","R0602","R1909","R8569","R188","R0902","E440","N182","E8720","K651","B49","Z48817","K659","R911","H2511","H524","H52223","R9431","S3992XA","M47816","W1830XA","Z8669","H9313","Z8739","M479","Z8781","S32019G","M51369","M549","R109","R1110","E871","J9611","L89620","K567","E876","L97529","B9561","R001","R801","R079","R601","Z481","G9349","E46","R6521","J398","N139","E785","G4700","K219","D631","K861","E441","Z23","R221","M542","J90","K5732","R933","M4856XA","R29890","M47817","I3481","I77810","M810","M009","M86142","H3589","Z01818","S32010G","R400","S32010A","N189","L089","L03012","S56422A","F330","R262","R1084","K449","A400","H6010","T17990A","H25813","R7303","H5202","R93429","N323","R855","S6992XA","X58XXXA","R591","R1901","Z9049","Z931","H2512","S46812A","E1169","R071","M79645","M818","R0603","J9601","N170","Z0189","K130","E43","S00511A","J811","J984","I2510","I3139","E8721","K6389","I499","H35361","H52203","R590","K668","N289","K669","H3554","M19072","M779","A4901","L03114","M25842","K5900","D649","Z461","R9389","R748","R350","R399","R932","I38","E611","K2090","S66321A","W290XXA","M86642","Z792","K310","R945","N401","Z452","Z4889","M4810","I491","R739","R269","Z743","R5383","Z961","R7982","R7989","Z1211","M86242","D696","J690","E8351","Z8719","M5450","Z8679","N3943","R351","Z87898","M79661","I071","I878","K121","R599","D638","B382","E878","R0989","S32019D","I5030","R0689","R059","S00411A","K529","R6510","Z862","E236","N39490","K5730","N2889","F32A"],"date":["2024-07-10","2023-07-24","2026-01-20","2024-08-06","2023-06-16","2025-04-30","2024-06-20","2024-06-04","2023-09-05","2024-05-29","2024-07-16","2023-11-03","2024-06-14","2024-02-07","2025-02-05","2024-05-22","2024-04-01","2024-08-14","2024-06-14","2024-06-14","2024-06-20","2024-06-21","2025-06-18","2025-04-08","2024-08-14","2024-08-06","2025-01-02","2025-02-17","2025-04-23","2025-06-23","2025-05-15","2025-08-25","2025-10-22","2025-10-10","2025-11-15","2025-04-30","2023-08-07","2024-10-08","2022-05-11","2023-02-21","2024-06-19","2024-06-14","2023-02-21","2023-02-27","2023-03-13","2023-02-20","2023-02-20","2023-03-05","2023-06-21","2023-03-05","2023-03-12","2023-04-24","2023-07-06","2025-05-24","2024-06-14","2023-06-20","2023-06-18","2024-02-06","2024-06-15","2023-06-24","2023-06-24","2023-08-25","2023-06-23","2023-06-23","2023-07-24","2023-07-24","2023-12-08","2023-10-05","2024-01-24","2024-01-24","2024-06-14","2024-07-09","2025-08-18","2024-07-09","2024-08-14","2024-08-14","2024-08-14","2025-05-16","2025-05-16","2025-09-03","2025-09-03","2025-09-03","2025-09-03","2023-07-07","2023-07-06","2023-07-06","2024-07-10","2024-06-16","2024-06-16","2024-06-16","2025-06-18","2023-12-05","2022-06-14","2023-04-19","2023-02-21","2023-02-28","2023-03-13","2023-03-13","2023-03-13","2023-03-13","2024-04-23","2025-06-18","2023-03-22","2023-06-23","2023-03-22","2023-06-22","2023-03-22","2023-10-24","2024-03-05","2024-02-17","2024-06-15","2024-06-21","2024-06-25","2024-07-10","2024-07-10","2024-07-10","2024-10-08","2024-10-08","2024-10-28","2025-04-23","2025-04-17","2025-06-23","2025-08-18","2026-01-06","2024-06-07","2024-10-25","2025-01-29","2025-04-08","2025-04-16","2025-04-23","2025-12-10","2023-08-14","2022-10-05","2022-10-05","2023-02-27","2023-02-27","2023-03-08","2023-09-15","2023-09-15","2023-08-10","2023-08-24","2023-08-24","2024-06-14","2025-07-14","2025-07-14","2023-06-22","2024-02-06","2025-06-10","2023-04-17","2023-09-21","2024-10-09","2025-05-14","2025-05-24","2025-05-01","2026-01-28","2023-02-21","2023-06-17","2023-03-01","2023-02-21","2023-03-06","2023-03-06","2023-03-09","2024-06-15","2023-06-18","2023-06-18","2023-06-18","2023-06-17","2023-07-06","2023-08-23","2023-09-15","2023-09-15","2023-10-03","2023-10-03","2023-10-03","2023-12-08","2023-11-03","2024-06-16","2024-06-16","2025-01-08","2025-04-17","2025-05-05","2024-06-19","2024-06-20","2023-03-22","2025-06-10","2023-12-05","2023-12-05","2024-04-23","2024-06-17","2024-06-18","2025-02-12","2025-02-12","2025-04-23","2025-04-23","2025-05-14","2025-05-14","2024-06-20","2024-06-20","2023-10-26","2024-07-17","2025-07-14","2025-10-01","2023-02-21","2023-03-01","2023-03-15","2023-03-15","2023-03-15","2025-06-23","2024-06-14","2024-06-14","2022-09-19","2025-04-17","2023-02-23","2023-03-03","2023-03-03","2023-06-16","2024-07-09","2023-10-19","2023-10-26","2023-10-26","2024-06-07","2024-07-26","2023-02-21","2023-02-21","2023-02-20","2023-02-20","2023-04-13","2023-07-07","2023-08-25","2024-06-15","2024-07-16","2025-01-08","2023-03-04","2024-02-07","2024-02-17","2023-07-07","2023-07-07","2023-08-29","2023-08-30","2024-06-18","2025-06-10","2025-06-10","2023-06-23"],"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":[["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","DICLOFENAC SODIUM","","","Select","Select",""],["","","FAMOTIDINE","","","Select","Select",""],["","","ESCITALOPRAM OXALATE","","","Select","Select",""],["","","NIFEDIPINE ER","","","Select","Select",""],["","","MIRTAZAPINE","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","CIPROFLOXACIN-DEXAMETHASONE","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","FINASTERIDE","","","Select","Select",""],["","","MECLIZINE HCL","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","SPIRONOLACTONE","","","Select","Select",""],["","","FLUTICASONE PROPIONATE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","PANTOPRAZOLE SODIUM","","","Select","Select",""],["","","ADACEL TDAP","","","Select","Select",""],["","","SF","","","Select","Select",""],["","","METFORMIN HCL ER","","","Select","Select",""],["","","MELOXICAM","","","Select","Select",""],["","","LOPERAMIDE","","","Select","Select",""],["","","TRUEPLUS LANCETS","","","Select","Select",""],["","","SHINGRIX","","","Select","Select",""],["","","ABRYSVO","","","Select","Select",""],["","","HYDROCHLOROTHIAZIDE","","","Select","Select",""],["","","CREON","","","Select","Select",""],["","","SODIUM FLUORIDE","","","Select","Select",""],["","","PEG-3350 AND ELECTROLYTES","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","CALCITONIN-SALMON","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","TRUE METRIX GLUCOSE TEST STRIP","","","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":""}]}]}