{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"LAFAYETTE LOCKE JR","gend":0,"currentgend":"","add":"18601 GREEN VALLEY RANCH","city":"DENVER","state":"CO","zip":"80249","dob":"1957-04-28","age":"","mstatus":"","insh":7000011887,"cliId":"","pno":"7203350821","cno":"7203350821","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"BLVD UNIT 108-165","add3":"","madd1":"18601 GREEN VALLEY RANCH","madd2":"BLVD UNIT 108-165","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80249","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000011887","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G9389","G919","R269","R4189","R32","R258","J441","J9611","R059","R0602","R0600","K5900","R109","Z4682","K56609","M542","R061","K6389","F17200","J9621","J09X2","J440","R2689","J09X9","J9601","G4734","I444","J9622","F0390","E785","G629","J449","R262","R350","M79641","R066","J9602","K7689","J432","R001","R42","R079","J101","I10","Z122","Z87891","R419","J9600","F17210","R9431","N400","R935","R9341","R900","H9202","G930","H60392","Z1211","L03115","G912","R0902","Z743","I493","I491","J80","R918","Z7409","K56690","M47812","R195","M19042","M19041","I071","J439","G939","R413","K222","R0981","Z09","Z720","Z9981","K591","J4550","I6523","H6122","N401","M79642","M25531","M25532","Z950","J986","H9190","M79601","M50323","K219","K449","M19011","I429","J9612","F03A0","J45909","F17298","H60502","J069","R0689"],"date":["2025-06-24","2023-04-10","2023-09-13","2024-02-06","2023-09-13","2023-09-13","2026-01-23","2026-01-23","2025-11-11","2025-11-12","2025-11-12","2025-11-12","2025-11-16","2025-11-12","2025-11-17","2025-11-12","2025-11-17","2025-11-12","2025-12-01","2025-11-13","2025-11-21","2025-11-21","2025-11-21","2025-11-17","2025-11-15","2024-01-10","2025-06-05","2024-07-27","2025-02-06","2024-07-27","2023-07-13","2025-12-10","2023-10-07","2023-11-30","2023-12-21","2024-01-29","2024-04-24","2024-02-13","2025-02-03","2025-04-02","2025-04-09","2025-06-12","2025-11-11","2025-12-01","2025-02-03","2023-09-25","2024-03-04","2024-04-24","2025-09-05","2025-09-05","2024-01-25","2024-01-25","2024-01-25","2023-03-17","2025-06-24","2025-08-29","2026-01-14","2023-08-04","2025-12-01","2023-11-05","2023-05-05","2024-07-27","2024-04-24","2024-04-24","2024-07-27","2024-07-27","2025-06-27","2025-11-21","2024-04-08","2025-05-14","2023-12-21","2023-12-21","2024-04-22","2025-01-27","2023-11-06","2023-08-31","2024-02-17","2026-01-27","2024-02-28","2024-07-27","2025-09-05","2025-01-27","2025-01-27","2024-01-21","2024-07-05","2023-11-17","2023-12-21","2023-12-21","2023-12-21","2024-03-04","2025-06-12","2025-08-29","2024-05-27","2024-02-06","2024-02-06","2024-02-06","2024-05-27","2024-07-27","2024-07-27","2024-07-27","2025-09-05","2025-11-12","2026-01-14","2026-01-14","2024-03-03"],"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":[["","","ALBUTEROL SULFATE HFA","","","Select","Select",""],["","","ALBUTEROL SULFATE","","","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":""}]}]}