{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"BEATRIZ OLIVAS","gend":1,"currentgend":"","add":"2530 W MISSISSIPPI AVE","city":"DENVER","state":"CO","zip":"80219","dob":"1972-04-21","age":"","mstatus":"","insh":7000008070,"cliId":"","pno":"7204695714","cno":"7204695714","email":"","ename":"","eno":"","pphy":"SCHIFELING, CHRISTOPHER H","ppno":9708723121,"pcpadd":"310 BRIDGE ST,","pcpcity":"HOTCHKISS","pcpstate":"CO","pcpzip":"81419","pcpcounty":"","pcpid":"","pcpname":"DH PAV G COMPREH CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"2530 W MISSISSIPPI AVE","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80219","pcpfaxno":9703462774,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000008070","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N200","N1330","N83202","R160","M7989","M79671","E11621","E11628","L97512","L988","H524","H52223","E1142","Z89411","R0789","B351","N2889","M5126","M5450","M6281","M79604","R269","N135","N130","N12","N3000","N3946","E119","H47393","H5213","G8929","M5440","M5136","M5416","M4804","Z466","L84","M21371","Z89429","M21372","R251","N390","R7402","E1140","G8918","R0902","Z98890","N138","L97412","R030","L97411","I499","N949","B373","I10","R109","R040","N131","Q6239","B3741","R1031","Z48816","N10","Z48815","Z1231","R1010","R682","R300","B3749","F419","M79675","R079","T148XXA","M25531","J069","N3289","H8112","I70202","N136","R1032","R1084","E041","R110","L97511","M5116","R92313","R29818","R918","N132","M7631","M5441","M5106","M48061","Z01818","N329","K5900","E669","R197","E038","G2581","Z3046","E1165","R42","L97419","R531","M79661","M79662","M4316","Z9689","R944","R399","L97519","Z794","M48062","G9589","L539","Z89421","R55","H04123","H40003","M7531","M79605","Z23","Z960","E1122","R9341","M47816","M5137","R519","I213","N39498","L509","Z7984","Q6211","N261","N289","E6601","Z6841","S91301D","M7731","I739","I70211","S91301A","K529","H538","M792","Z87442","M898X7","M7661","Z7189","J3489","G629","I70201","A0472","R9431","M47897","K821","M9983","Z87448","Q632","E871","Z8739","N281"],"date":["2025-06-25","2026-01-29","2022-02-03","2022-02-03","2022-03-09","2025-09-23","2026-01-30","2022-04-06","2022-08-31","2022-04-06","2022-05-10","2023-05-11","2026-01-30","2024-09-17","2024-06-24","2022-07-13","2024-09-12","2022-07-20","2024-03-18","2022-10-11","2022-10-11","2022-10-11","2026-01-29","2025-02-25","2023-02-26","2023-04-18","2024-02-29","2025-05-21","2025-03-13","2025-03-13","2024-03-17","2024-03-17","2024-03-17","2024-03-17","2024-03-17","2025-06-26","2025-12-11","2026-01-30","2024-09-17","2026-01-30","2025-06-27","2025-06-27","2025-06-27","2025-06-27","2025-08-01","2025-10-03","2025-10-03","2025-10-02","2025-10-14","2025-11-07","2026-01-30","2025-08-02","2022-01-20","2022-04-18","2023-12-18","2025-06-26","2022-09-23","2023-02-20","2023-01-09","2022-12-15","2023-01-24","2023-04-18","2023-02-26","2023-01-03","2025-04-04","2023-02-20","2023-04-06","2025-04-09","2023-09-28","2024-06-24","2024-07-11","2024-06-24","2024-08-02","2024-12-11","2025-01-02","2025-05-07","2025-06-11","2025-06-25","2025-06-25","2025-07-31","2025-07-31","2025-09-22","2025-11-19","2022-03-04","2024-03-22","2025-04-04","2025-06-25","2024-02-14","2022-02-03","2022-04-09","2022-07-20","2022-08-03","2024-03-18","2022-11-30","2023-03-21","2025-07-10","2023-08-22","2025-07-09","2024-11-14","2024-11-13","2024-11-26","2025-10-04","2024-01-23","2022-02-11","2022-05-11","2022-05-11","2022-05-11","2022-09-27","2024-02-28","2025-09-23","2024-02-29","2024-07-19","2025-10-04","2025-05-21","2022-08-03","2022-03-09","2025-09-23","2024-02-28","2025-03-13","2024-03-07","2024-06-24","2022-07-29","2022-10-14","2024-03-13","2025-11-05","2022-03-04","2022-07-20","2024-06-01","2024-06-24","2024-09-12","2024-09-27","2025-06-26","2025-10-04","2024-03-08","2024-02-13","2024-02-13","2024-05-30","2024-05-30","2024-08-02","2024-08-02","2025-06-25","2025-06-25","2025-06-25","2025-07-31","2022-06-30","2024-03-13","2022-11-07","2025-09-23","2025-09-23","2022-12-07","2025-01-08","2025-05-21","2025-06-25","2024-02-05","2022-03-11","2023-07-09","2023-07-09","2023-07-09","2023-10-19","2024-03-13","2024-02-19","2024-03-18","2025-02-17"],"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":[["","","CEPHALEXIN","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","PREGABALIN","","","Select","Select",""],["","","CYCLOBENZAPRINE HCL","","","Select","Select",""],["","","HYDROMORPHONE HCL","","","Select","Select",""],["","","OXYBUTYNIN CHLORIDE ER","","","Select","Select",""],["","","ONDANSETRON HCL","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","KETOROLAC TROMETHAMINE","","","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":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}