{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JANET POTTER","gend":1,"currentgend":"","add":"5151 E YALE CIR","city":"DENVER","state":"CO","zip":"80222","dob":"1971-05-29","age":"","mstatus":"","insh":101393972,"cliId":"","pno":"7203243165","cno":"7203243165","email":"","ename":"","eno":"","pphy":"MYERS, ABIGAIL C","ppno":7135006500,"pcpadd":"6431 FANNIN ST,","pcpcity":"HOUSTON","pcpstate":"TX","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"SOUTHEAST PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"APT 417","add3":"","madd1":"5151 E YALE CIR","madd2":"APT 417","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80222","pcpfaxno":7135006497,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101393972","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["N939","N7093","J449","J441","I2720","E1151","E6601","G4733","Z23","Z760","F32A","N950","S91012A","T8131XD","J101","N951","M1711","R600","J9611","J9612","R2242","M170","G894","M159","G4730","H524","H52222","R2689","Z743","E039","F1120","Z993","Z9981","H5203","E1169","Z01818","K0530","M25561","N859","D72829","I459","N3281","E1140","H9193","L03115","L03116","B351","J439","M79605","R222","J410","E1142","J9621","D649","M25562","A419","E559","M25512","I509","I130","Z6844","R32","F209","J45909","N3941","Z87891","M869","Z87440","F324","Z602","Z6843","Z9181","K219","Z7984","E785","M79604","H52223","M21371","M1712","M2342","Z09","M8589","H2513","M25571","G8929","M79671","F3181","S99912A","W050XXA","Z720","I5030","I110","Z0100","R931","R918","R0602","R059","I445","M79672","M25572","R112","Z1211","I2781","I10","J9622","J9600","R030","E669","R1084","R058","N739","R10813","R509","F17200","M14671","Z7689","I5043","I5032","I2723","N3946","E1149","Z4789","I517","L304","S81812A","W548XXA","R52","M79661","M19071","I081","I878","R58","I281","E119","R0600","R251","K5900","R0609","R809","Z1231","R000","I7789","N9489","R100","J4489","Z122","L84","E11610","Z8739","M19012","R262","M6281","R2681","F4312","F419","F603","F1021","G2401","R0683","Z515","F4320","Z20822","N924","K0389","E662","R519","R42","M868X8","R0989","U071","S098XXA","F10120","J4550","S46012A","R079","R933","R0682","R062","K6389","K5730","F17210","N838","E1165","S81812D","M85861","Z0189","Z461","I340","I342","I350","I361","I371","I080","I3481","R5381","I288","M7989","Z30430","A5216","Z8619","R911","I428"],"date":["2025-03-11","2024-11-01","2025-12-04","2026-01-25","2025-12-04","2025-10-01","2025-12-04","2025-09-12","2025-11-17","2022-01-28","2022-02-09","2025-10-22","2023-06-08","2023-07-06","2023-11-27","2024-01-18","2024-01-07","2024-01-07","2025-10-06","2025-10-06","2024-02-15","2025-09-29","2025-12-04","2025-12-04","2026-01-25","2024-05-22","2024-05-22","2024-09-21","2024-09-21","2024-03-18","2022-12-13","2025-10-02","2024-09-11","2025-05-23","2022-05-04","2024-11-07","2022-10-04","2025-08-12","2025-03-13","2023-04-21","2023-04-21","2023-05-26","2025-08-21","2023-06-21","2023-09-11","2023-09-14","2025-08-21","2024-02-01","2024-02-28","2024-04-02","2024-04-18","2025-05-01","2025-10-02","2024-07-22","2025-08-12","2024-09-14","2024-10-21","2024-11-04","2025-10-02","2025-10-22","2025-09-03","2022-03-24","2022-03-24","2025-10-02","2025-12-23","2024-11-04","2024-09-10","2022-03-04","2022-03-04","2022-03-04","2022-03-04","2022-03-04","2022-03-04","2022-03-04","2024-09-26","2023-09-11","2024-05-22","2023-05-09","2022-11-22","2022-11-22","2023-04-26","2023-04-27","2023-05-11","2024-06-19","2024-04-19","2023-05-10","2026-01-23","2023-06-08","2023-06-08","2025-10-06","2025-10-15","2025-10-15","2024-05-22","2024-06-11","2025-08-01","2024-07-08","2024-06-11","2024-09-11","2023-07-06","2023-11-14","2025-03-13","2024-06-17","2024-06-26","2024-09-26","2024-09-12","2024-06-24","2024-06-05","2025-03-11","2024-09-11","2024-09-14","2024-09-25","2024-09-18","2024-09-18","2026-01-23","2025-03-25","2024-08-27","2023-12-01","2025-10-23","2022-04-04","2022-11-09","2023-02-02","2023-06-29","2025-06-10","2024-06-14","2023-07-06","2023-06-14","2023-06-08","2023-09-11","2023-09-11","2024-02-22","2025-06-10","2024-04-05","2024-04-19","2025-05-23","2024-09-11","2025-03-13","2025-03-13","2025-10-02","2025-03-13","2025-03-13","2024-09-11","2024-09-11","2024-09-11","2024-09-21","2025-10-06","2024-11-04","2024-06-19","2025-08-21","2024-12-31","2025-08-01","2025-10-02","2025-10-02","2025-10-02","2026-01-23","2026-01-23","2026-01-23","2026-01-23","2026-01-23","2023-08-15","2022-06-14","2022-06-14","2026-01-21","2022-12-02","2022-10-04","2024-04-22","2024-06-23","2024-06-23","2024-06-19","2024-09-11","2024-08-29","2024-09-11","2024-09-11","2025-01-06","2025-07-31","2024-06-23","2024-09-11","2024-09-14","2024-09-14","2024-09-21","2024-09-21","2023-09-11","2022-12-02","2023-06-29","2023-06-29","2022-04-12","2023-01-18","2023-07-26","2024-06-24","2024-06-24","2024-06-24","2024-06-24","2024-06-24","2025-02-19","2025-06-10","2022-06-14","2023-10-26","2024-04-20","2025-03-11","2025-05-01","2025-05-01","2025-02-06","2023-11-29"],"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":[["","","TRUEPLUS LANCETS","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","METHENAMINE HIPPURATE","","","Select","Select",""],["","","SPIRIVA HANDIHALER","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","METRONIDAZOLE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","LEVOTHYROXINE SODIUM","","","Select","Select",""],["","","OXYCONTIN","","","Select","Select",""],["","","DULOXETINE HCL","","","Select","Select",""],["","","NYSTOP","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","TRUE METRIX BLOOD GLUCOSE MTR","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","TRUE METRIX GLUCOSE TEST STRIP","","","Select","Select",""],["","","IPRATROPIUM-ALBUTEROL","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","METOCLOPRAMIDE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","METHYLPREDNISOLONE","","","Select","Select",""],["","","OSELTAMIVIR PHOSPHATE","","","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":{"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":{"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":""}]}]}