{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"SHARON BARAJAS","gend":1,"currentgend":"","add":"655 S ALTON WAY","city":"DENVER","state":"CO","zip":"80247","dob":"1952-10-20","age":"","mstatus":"","insh":7000007447,"cliId":"","pno":"3039364990","cno":"3039364990","email":"","ename":"","eno":"","pphy":"MAI, ASHLEY Q","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"LOWRY FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"UNIT 11D","add3":"","madd1":"655 S ALTON WAY","madd2":"UNIT 11D","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80247","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000007447","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["K828","I7090","M5489","Z743","K920","M533","M160","S3210XA","M79662","M79661","N390","E876","R52","M47812","M4312","S0990XA","M79606","K2090","K279","D62","R140","R339","E43","K567","S2222XA","S2242XA","R531","Z960","W19XXXA","K921","K7031","R319","J9601","K7030","E039","I2510","D509","I491","I493","I252","K449","K269","J8410","G629","G4700","F1020","M810","I10","Z9181","M6281","R2681","Z741","S2220XA","G8911","W1830XA","S3210XK","M8000XS","Z8719","K219","N319","R64","K769","Z1289","S3210XS","G834","M6259","K2211","M5440","Z09","S2243XA","S2220XD","Z466","R8290","R932","K8020","R918","I444","R100","Z515","M25551","M8448XA","K2080","M8000XA","M25552","R0781","M5450","E46","R2689","R5381","M8008XA","R059","R509","J312","K5900","R1013","S50312A","S60812A","S60511A","M8088XA","J439","Z9981","R296","R627","Z87440","Z87448","Z13820","Z780","J90","S2231XA","T83091A","R112","W01198A","R0789","R0602","N200","T07XXXA","M549","S8992XA","R609","R269","N3289","K5989","R109","M79604"],"date":["2024-10-23","2024-10-23","2024-12-12","2025-01-06","2024-12-24","2024-12-19","2024-12-20","2025-01-05","2025-01-02","2025-01-02","2024-12-16","2024-12-26","2025-01-06","2024-12-31","2024-12-31","2024-12-31","2024-12-14","2024-12-23","2024-12-18","2024-12-19","2025-01-01","2026-01-14","2025-01-05","2024-12-19","2025-01-06","2025-01-06","2025-01-06","2026-01-08","2024-12-31","2024-12-20","2026-01-21","2024-12-20","2025-01-04","2025-01-04","2025-01-13","2025-01-04","2025-01-03","2024-12-13","2024-12-13","2024-12-13","2024-12-15","2024-12-22","2025-01-10","2025-01-10","2025-01-13","2025-01-17","2025-01-26","2025-01-13","2025-01-17","2025-01-29","2025-01-17","2025-01-17","2025-01-06","2025-01-03","2025-01-05","2025-02-26","2025-02-26","2025-03-12","2025-03-10","2026-01-14","2026-01-14","2026-01-14","2025-07-09","2025-01-29","2025-01-29","2025-01-29","2024-12-15","2024-12-12","2025-01-16","2024-12-31","2025-01-10","2025-07-03","2026-01-12","2022-04-11","2022-04-11","2025-01-05","2025-01-02","2024-12-15","2024-12-22","2024-12-22","2025-01-03","2024-12-22","2024-12-22","2024-12-22","2025-01-06","2024-12-12","2024-12-12","2025-01-06","2024-12-23","2025-01-06","2024-12-23","2024-12-23","2024-12-23","2024-12-23","2024-12-15","2025-01-08","2025-01-08","2025-01-08","2024-12-23","2025-01-05","2025-01-10","2025-01-06","2024-12-31","2025-12-23","2025-12-23","2022-10-14","2022-10-14","2025-01-02","2025-01-06","2025-02-17","2024-12-15","2024-12-31","2024-12-16","2024-12-16","2026-01-08","2025-02-06","2025-06-11","2024-12-12","2024-12-23","2025-01-10","2024-12-14","2024-12-14","2024-12-16","2024-12-12"],"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":[["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","LACTULOSE","","","Select","Select",""],["","","METHOCARBAMOL","","","Select","Select",""],["","","NICOTINE PATCH","","","Select","Select",""],["","","SPIRONOLACTONE","","","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":""}]}]}