{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"NADINE FOSTER","gend":1,"currentgend":"","add":"7401 E 26TH AVE","city":"DENVER","state":"CO","zip":"80238","dob":"1953-07-08","age":"","mstatus":"","insh":1020577339,"cliId":"","pno":"7203189685","cno":"7203189685","email":"","ename":"","eno":"","pphy":"VENCI, JULIE A","ppno":3034366550,"pcpadd":"DENVER HEALTH ANESTHESIOLOGY,777 BANNOCK ST MC 0218","pcpcity":"DENVER","pcpstate":"CO","pcpzip":"80217","pcpcounty":"","pcpid":"","pcpname":"PE\u00d1A PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"UNIT 219","add3":"","madd1":"7401 E 26TH AVE","madd2":"UNIT 219","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80238","pcpfaxno":3034366548,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1020577339","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H524","H52223","R918","H401131","H25813","H52203","H2511","H401111","Z1231","M4312","M25552","M5031","Z96643","M50322","M50323","G4733","G4734","R000","H40003","R7303","M25512","U071","R197","F1020","Z48810","H43812","N189","R202","E785","M5412","M7061","E6601","R718","R0602","M4802","G5622","R051","I10","H18893","H04123","H02833","N1832","N250","H02831","Z961","R0789","R200","M79602","M549","Z743","M4722","H2513","H2512","R079","H02834","Z122","Z87891","I2510","D509","J439","Z20822","G8929","H401121","R911","I6523","G5602","Z01818","M5020","I2720","M7062","M50123","I071","B029","N1831","M47812","M9961","G5620","Z7189","Z96612","Z780","M5011","J9811","I129"],"date":["2022-04-01","2022-04-01","2025-06-10","2025-11-25","2023-10-23","2023-10-23","2023-11-13","2023-11-13","2025-05-02","2024-09-17","2024-09-17","2024-09-17","2024-10-21","2024-09-17","2025-07-18","2025-10-27","2024-10-23","2026-01-21","2022-04-25","2025-12-02","2022-10-03","2022-12-19","2023-05-02","2025-11-11","2024-01-17","2024-05-10","2024-04-25","2024-08-21","2024-10-08","2024-12-20","2024-12-19","2025-02-27","2025-03-11","2025-06-12","2025-11-04","2026-01-16","2026-01-21","2023-11-13","2022-04-25","2023-10-03","2022-08-23","2023-10-03","2023-03-14","2023-10-03","2025-11-25","2024-08-21","2024-08-21","2024-08-21","2024-08-21","2024-08-21","2025-11-04","2022-04-01","2023-10-30","2024-08-21","2022-04-13","2024-05-20","2023-04-07","2024-05-20","2022-03-22","2025-05-07","2022-01-05","2022-09-21","2023-10-30","2024-05-20","2024-10-08","2026-01-16","2025-07-18","2025-09-27","2023-07-20","2024-10-21","2025-09-29","2023-07-20","2022-07-28","2023-10-03","2025-11-04","2025-09-29","2025-11-04","2023-06-08","2022-09-21","2025-03-16","2025-04-21","2026-01-21","2023-03-14"],"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":[["","","LOPERAMIDE","","","Select","Select",""],["","","HYDROCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","PREDNISONE","","","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":""}]}]}