{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"TODD THOMPSON","gend":0,"currentgend":"","add":"1546 S MILWAUKEE ST","city":"DENVER","state":"CO","zip":"80210","dob":"1959-04-30","age":"","mstatus":"","insh":2000119209,"cliId":"","pno":"3039956234","cno":"3039956234","email":"","ename":"","eno":"","pphy":"KOLPAK, STEVEN J","ppno":3037551116,"pcpadd":"1450 S HAVANA ST,SUITE 436","pcpcity":"AURORA","pcpstate":"CO","pcpzip":"02284","pcpcounty":"","pcpid":"","pcpname":"DH PAV G ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1546 S MILWAUKEE ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80210","pcpfaxno":8124250624,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000119209","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["M4625","F1090","Z4789","E871","A400","E11610","Z48811","G629","M86171","Z4800","I517","I5032","R0602","E11621","I2510","I25118","M14671","T849XXD","Z4801","S82201D","T8489XA","A4101","G603","Z23","L97522","G4733","M14672","R936","R7881","I480","M869","M86172","R93422","R9389","I739","L97519","L97529","M7989","M4624","M4626","G061","B950","M75101","M4644","M25511","M25411","Z89422","M009","Z981","A419","B9561","M00811","M7551","L97419","L97429","E119","L609","E1140","L97412","L97422","Z5181","Z792","L089","I459","L97512","A5216","M86671","I4891","I110","R531","Z7401","Z472","G6289","M12871","I708","S82231A","S82201A","T84428A","S82142A","T84223A","M19071","X58XXXA","E11628","L03115","N179","M86672","M75121","R600","M948X1","Z515","E1169","L97514","L02611","L02413","S91301A","S41001A","M79661","G621","R52","Z743","R0902","S91302A","L97511","M1711","B372","G4700","R519","I440","J9811","Z4781","L988","M86461","T8130XA","L989","J90","Z7901","R6520","G062","M4646","M4804","M4316","T8132XA","L603","L84","Z98890","Z8739","L97411","M4326","M4324","I10","F329","F419","M8629","M4312","M4317","I4892","I491","I441","I493","I5030","I3481","I878","I70203","M24574","Z48817","M6281","E1142","S82491A","X500XXA","T84428D","S81801D","T84194A","S92101A","G8918","R269","Z789","T8142XD","M79671","Z7409","S81801A","M898X7","M719","R079","Z4889","Z029","M25512","M75122","M4620","D649","R710","R9431","F32A","R262","R2689","Z9981","T847XXD","T84498D","G4734","K2100","I499","Z7189","K279","E7800","M80811D","K5900","B356","L97421","M48061","J9601","M4645","R7303","R781","Z8619","L602","M216X2","M216X1","M2142","M2141","M19072","Z01810","M25519","F1020","S82201S","T84498A","I82611","M25812","M67911","R000","T8744","G8929","M549","M00211","S92511D","I498","E785","N400","L299","Z5189","R5381","M5440","M868X7","S92512D","Z452","M25811","T8189XA","L0889","R54","E441","S90811A","S90812A","M4325","Z967","M8620","T84197A","Z89421","M5489","Z0389","M71111","M00011","R791","L97819","T8149XD","A369","N401","M14641","T8131XD","M9689","K219","M6259","R2681","B9562"],"date":["2024-06-12","2024-06-18","2025-12-30","2025-11-06","2024-04-12","2026-01-21","2024-11-14","2025-11-24","2026-01-21","2025-10-22","2025-06-22","2025-07-11","2025-07-10","2026-01-21","2025-07-10","2026-01-03","2026-01-18","2025-12-03","2025-12-29","2026-01-21","2026-01-05","2023-08-22","2023-10-04","2023-11-14","2025-12-03","2025-09-26","2025-11-19","2023-08-21","2024-06-04","2025-10-13","2026-01-09","2024-02-23","2024-04-05","2024-04-05","2026-01-03","2025-11-11","2025-10-27","2025-10-15","2024-06-10","2024-06-10","2024-04-25","2024-04-19","2024-04-19","2024-05-01","2024-04-22","2024-04-22","2025-09-02","2024-06-12","2025-06-16","2024-06-04","2026-01-06","2024-05-22","2024-05-03","2026-01-02","2024-08-12","2023-12-27","2024-10-08","2026-01-21","2025-12-11","2025-05-29","2024-06-10","2024-06-10","2025-10-29","2025-10-13","2025-12-03","2026-01-02","2025-12-02","2025-11-18","2025-10-31","2025-10-31","2025-10-31","2025-11-11","2025-12-03","2026-01-09","2025-12-16","2025-12-30","2026-01-13","2026-01-02","2026-01-12","2025-12-31","2026-01-09","2026-01-09","2023-08-10","2025-04-04","2023-08-18","2026-01-21","2023-08-09","2024-02-13","2023-08-09","2023-08-18","2025-06-16","2024-01-16","2026-01-27","2026-01-15","2025-10-23","2026-01-15","2023-11-17","2023-10-14","2024-05-23","2024-05-13","2024-06-12","2025-10-23","2025-10-23","2023-08-10","2023-10-11","2025-11-24","2023-10-07","2025-10-13","2024-04-04","2025-07-01","2024-04-16","2024-04-11","2026-01-15","2024-04-12","2024-04-18","2024-04-17","2024-04-24","2024-05-14","2024-04-30","2024-05-01","2024-04-30","2024-05-08","2025-05-29","2024-06-13","2026-01-07","2025-09-02","2024-10-29","2024-05-28","2024-05-28","2026-01-21","2024-05-15","2026-01-13","2024-05-28","2025-06-16","2025-06-16","2025-06-13","2025-06-13","2025-06-13","2025-06-13","2025-10-13","2025-06-22","2025-06-22","2025-06-27","2025-10-27","2025-12-10","2025-12-10","2026-01-12","2025-12-30","2025-12-30","2026-01-04","2026-01-13","2026-01-12","2026-01-09","2026-01-02","2026-01-13","2026-01-13","2026-01-13","2026-01-12","2026-01-12","2026-01-15","2023-08-07","2023-08-21","2023-08-24","2024-06-14","2026-01-21","2023-06-05","2023-06-09","2024-06-05","2026-01-11","2026-01-11","2023-08-21","2025-11-05","2024-07-06","2024-07-06","2023-04-18","2023-12-02","2026-01-26","2022-05-05","2024-05-23","2024-05-23","2024-05-14","2024-05-14","2024-05-14","2024-04-24","2025-11-24","2025-11-13","2025-12-11","2024-04-06","2024-04-11","2024-04-26","2025-11-06","2023-09-20","2024-06-12","2024-10-29","2024-11-01","2024-11-01","2024-11-01","2024-11-01","2024-11-01","2025-10-13","2025-11-06","2025-11-06","2026-01-05","2026-01-09","2023-08-08","2023-06-09","2023-06-09","2024-04-08","2024-04-05","2024-04-05","2024-04-05","2024-04-20","2025-04-04","2025-10-13","2025-11-05","2025-11-10","2025-11-10","2025-11-10","2026-01-13","2024-06-12","2024-02-13","2024-02-13","2024-04-10","2024-04-15","2024-05-29","2024-05-29","2024-05-29","2024-05-29","2024-05-29","2024-05-29","2024-06-07","2024-06-14","2024-06-03","2026-01-05","2025-06-27","2024-04-24","2023-08-07","2023-08-10","2023-08-21","2024-04-04","2024-05-02","2024-05-22","2024-05-22","2024-06-04","2024-06-04","2024-11-14","2025-06-27","2025-11-27","2025-11-27","2025-11-27","2026-01-12"],"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":[["","","METHOCARBAMOL","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","OXYCODONE HCL","","","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":""}]}]}