{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOHN OLIVAREZ","gend":0,"currentgend":"","add":"5350 W 52ND AVE","city":"DENVER","state":"CO","zip":"80212","dob":"1947-12-27","age":"","mstatus":"","insh":7000006729,"cliId":"","pno":"7202368701","cno":"7202368701","email":"","ename":"","eno":"","pphy":"KULASEKARAN, VISHNU","ppno":3035469158,"pcpadd":"10345 PARKGLENN WAY STE #220,","pcpcity":"PARKER","pcpstate":"CO","pcpzip":"80308","pcpcounty":"","pcpid":"","pcpname":"DH PAV G ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"APT 420","add3":"","madd1":"5350 W 52ND AVE","madd2":"APT 420","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80212","pcpfaxno":3038408928,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000006729","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["H47022","R079","F1121","Z8546","H3554","C61","H903","R1033","Z5112","M5440","M542","M48061","Z08","M48062","R0602","M5450","E119","H9121","Z461","R531","Z125","I714","M47816","J449","N4232","N411","N419","R001","I4589","R9431","Z743","H47393","H04123","R0609","Z8616","Z87891","H3589","Z961","R9721","I7143","D7389","K5730","Z029","C775","R350","Z809","E7849","I10","Z794","R3915","Z79818","M5116","I2510","Z7985","Z923","M5136","Z981","M159","G8929","M5451","M25552","M5134","I459","I517","Z98890","Z859","M5126","M51360","Z131","M25521","M5416","H40003","R935","H9311","R232","R3911","J3489","M4802","R29898","R200","G459","I77811","R948","D739","Q899","Z20822","Z1211","N4289","D734","R9720","R0789","H60543","M5441","M4807","M9953","M4726","M4010","R030","H52221","L299","R42","R9089","H52223","H524","U071","J069","R198","R262","M5459","T162XXA","Z9981","R52","Z9989","J9611","H7292","L988","R6884","R918","R059","N400","R9341","Z5111","Z974","R208","M25512","Z8679","M4316","E663","I110"],"date":["2023-02-20","2024-09-12","2026-01-16","2026-01-29","2023-09-28","2026-01-29","2025-07-29","2024-05-07","2024-11-25","2024-07-25","2024-08-09","2024-07-30","2024-07-22","2024-12-13","2024-10-03","2024-12-13","2026-01-29","2025-07-29","2025-09-05","2026-01-29","2022-02-07","2022-07-22","2024-12-13","2026-01-29","2022-02-10","2022-02-10","2022-08-16","2023-01-26","2023-01-26","2026-01-29","2026-01-29","2024-09-12","2024-09-12","2023-03-06","2023-03-06","2026-01-29","2022-10-06","2025-03-05","2024-03-27","2026-01-29","2023-10-17","2023-10-17","2025-12-15","2025-10-13","2024-11-25","2024-05-17","2024-05-17","2026-01-29","2024-05-17","2024-05-17","2025-10-13","2024-07-30","2024-09-12","2024-05-02","2024-05-02","2024-09-18","2024-11-26","2024-05-02","2024-07-30","2024-05-02","2024-08-16","2024-08-16","2024-09-12","2024-09-12","2024-10-02","2024-10-03","2024-11-26","2024-11-26","2024-05-31","2025-01-29","2025-01-10","2025-03-05","2025-04-17","2025-07-10","2025-10-13","2025-12-15","2026-01-29","2026-01-29","2026-01-29","2026-01-29","2026-01-29","2022-06-24","2024-01-22","2026-01-29","2025-04-17","2022-01-10","2025-12-16","2022-02-07","2022-08-29","2024-05-09","2024-11-25","2024-03-18","2024-07-30","2024-07-29","2024-07-29","2024-08-09","2024-08-09","2025-01-03","2025-03-05","2025-05-01","2026-01-29","2026-01-29","2023-09-28","2023-09-28","2022-01-11","2023-09-16","2024-06-20","2024-11-14","2024-12-13","2025-01-31","2026-01-29","2026-01-29","2026-01-29","2024-09-12","2024-08-09","2025-05-13","2023-01-25","2023-01-26","2023-09-16","2023-12-22","2023-12-22","2024-08-26","2025-07-18","2026-01-29","2026-01-29","2026-01-29","2024-07-25","2024-05-02","2024-09-12"],"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":[["","","CHLORHEXIDINE GLUCONATE","","","Select","Select",""],["","","CEFUROXIME","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","AMOXICILLIN","","","Select","Select",""],["","","BICALUTAMIDE","","","Select","Select",""],["","","LEVOFLOXACIN","","","Select","Select",""],["","","MYRBETRIQ","","","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":""}]}]}