{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GERONIMO ESCALERA SANTOS","gend":0,"currentgend":"","add":"200 S OSCEOLA ST","city":"DENVER","state":"CO","zip":"80219","dob":"1945-05-29","age":"","mstatus":"","insh":7000008537,"cliId":"","pno":"7209992507","cno":"7209992507","email":"","ename":"","eno":"","pphy":"BULL, LAUREN C","ppno":3037763250,"pcpadd":"220 E ROGERS RD,","pcpcity":"LONGMONT","pcpstate":"CO","pcpzip":"80501","pcpcounty":"","pcpid":"","pcpname":"WESTWOOD FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"200 S OSCEOLA ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80219","pcpfaxno":3034945265,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000008537","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["Spanish"]],"comment":[[]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R918","R29818","R9401","R410","Z743","R531","G9340","G9341","G8194","I10","E119","E1165","E785","R9720","N402","I639","H25813","R937","N429","R0989","Z135","M1710","Z01818","H04123","B029","I6340","R7612","Z111","Z794","R2681","I82612","I82611","Q2112","R2689","G3184","G928","E1110","R079","I493","R519","A150","Z09","E118","N401","R112","E162","G9389","R509","Z9282","S0003XA","Z5189","R935","M170","M76892","M25461","R4182","T380X5A","R451","N138","R339","I4729","W19XXXA","H40002","R9431","R200","Q2119","I3481","I340","I351","Z7984","G8192","E0910","I959","Q248","H5213","G309","F02A11","Z8673","H18892","R7611","K219","E8721"],"date":["2025-11-21","2025-05-09","2025-05-12","2025-05-09","2025-05-09","2025-05-15","2025-05-13","2025-05-11","2025-05-09","2025-05-09","2025-11-21","2025-07-02","2025-10-15","2025-08-27","2025-09-29","2025-10-15","2025-11-21","2025-10-06","2025-10-06","2025-11-21","2025-06-02","2022-12-08","2025-09-24","2025-11-21","2025-11-21","2025-05-09","2023-05-25","2023-06-27","2025-05-12","2025-05-15","2025-05-13","2025-05-13","2025-05-13","2025-05-13","2025-05-13","2025-05-15","2025-05-15","2025-11-21","2025-11-22","2025-11-21","2023-08-29","2023-08-29","2025-01-09","2025-12-04","2023-05-25","2023-05-25","2025-05-12","2025-05-11","2025-05-11","2025-11-21","2025-09-18","2025-10-03","2023-04-26","2022-12-08","2022-12-08","2025-05-10","2025-05-13","2025-05-12","2025-08-27","2025-08-27","2025-10-15","2024-02-14","2025-09-24","2024-02-15","2024-02-15","2025-05-12","2025-05-12","2025-05-12","2025-05-12","2025-05-12","2025-05-15","2025-05-15","2025-07-02","2025-07-02","2025-09-10","2025-09-18","2025-09-18","2025-10-15","2025-11-21","2023-04-21","2023-04-21","2025-05-11"],"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":[["","","ONDANSETRON ODT","","","Select","Select",""],["","","TRULICITY","","","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":""}]}]}