{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MAXINE PORTER","gend":1,"currentgend":"","add":"4725 S LOWELL BLVD UNIT 2 APT 037","city":"LITTLETON","state":"CO","zip":"80123","dob":"1941-11-06","age":"","mstatus":"","insh":101397519,"cliId":"","pno":"7204020193","cno":"7204020193","email":"","ename":"","eno":"","pphy":"HANRATTY, REBECCA L","ppno":3032210370,"pcpadd":"8200 E BELLEVIEW AVE,STE 418C","pcpcity":"GREENWOOD VILLAGE","pcpstate":"CO","pcpzip":"80111","pcpcounty":"","pcpid":"","pcpname":"EASTSIDE ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"4725 S LOWELL BLVD UNIT 2 APT 037","madd2":"","madd3":"","mcity":"LITTLETON","mstate":"CO","mzip":"80123","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101397519","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R059","S82032A","S72432A","K921","E441","J9611","J449","E119","S3993XA","S199XXA","S0990XA","S82002A","S8991XA","M6281","J189","R296","D500","G8929","E1142","N1831","F259","E440","R627","M25512","K623","Z79891","R350","H26493","Z961","H5213","Z029","R0602","Z743","J9601","J441","D509","R531","K5900","R0600","R7989","F1120","L03114","K529","I10","E876","R109","K6389","K5730","G894","R100","A084","K8689","K828","K8020","K449","Z452","A419","R6521","Z515","D649","J9621","F1190","R1319","I509","J811","J90","R0902","R1313","R6330","G9341","N179","R918","M170","R051","J690","S82032D","Z09","I361","I517","R6520","J984","R52","W19XXXA","S82001A","J439","Z87891","Z7189","K922","R778","Z20822","R9431","D62","F1110","R42","K219","F39","R630","J432","R300","E1165","G9340","W19XXXS","K2950","J188","I499","R279","Z9989","F32A","Z7401","S299XXA","S3991XA","S82002D","I358","R203","T402X5D","T402X5S","S6991XA","M25552","J9811","R509","K5520","H524","H52223","R1310","K625","M2578","N3000","M1711","R071","R1013"],"date":["2025-09-30","2024-03-01","2024-03-01","2024-03-01","2024-02-29","2025-10-05","2026-01-10","2025-10-07","2024-02-29","2024-02-28","2024-02-28","2024-02-28","2024-02-28","2023-12-22","2025-12-10","2024-03-03","2023-12-22","2025-12-08","2024-11-22","2025-12-08","2024-03-01","2023-12-22","2025-01-07","2023-12-21","2025-12-06","2023-12-21","2025-12-08","2024-11-21","2024-11-21","2024-11-21","2025-07-23","2025-12-10","2025-11-30","2025-10-06","2025-05-18","2025-01-08","2025-01-01","2025-12-02","2025-05-03","2025-05-04","2025-12-08","2025-01-07","2025-12-08","2025-12-10","2025-10-07","2025-12-08","2025-09-30","2025-12-02","2025-12-10","2025-12-08","2025-12-08","2025-12-02","2025-12-02","2025-12-02","2025-12-02","2023-04-28","2025-04-16","2023-05-02","2023-05-02","2023-12-15","2025-10-07","2025-11-30","2023-12-19","2023-04-29","2023-04-29","2025-05-03","2025-10-03","2023-04-29","2023-04-29","2023-05-06","2025-10-01","2025-04-21","2025-06-06","2023-12-14","2023-12-14","2024-03-22","2024-01-12","2023-04-29","2025-05-04","2023-05-05","2023-05-29","2025-09-30","2024-02-29","2024-02-29","2024-02-29","2024-02-29","2023-04-29","2023-12-18","2023-04-28","2023-05-29","2023-12-15","2023-12-18","2023-12-14","2024-12-28","2025-12-08","2025-05-07","2025-12-08","2025-12-08","2025-12-08","2025-12-08","2023-05-01","2023-05-01","2023-12-15","2023-12-14","2023-04-28","2024-12-06","2023-05-29","2024-12-28","2024-03-03","2024-02-29","2024-02-29","2024-02-29","2025-05-04","2025-12-10","2025-12-10","2025-12-10","2025-12-02","2025-10-29","2025-04-16","2025-04-16","2023-12-15","2024-11-21","2024-11-21","2023-12-18","2024-12-05","2023-12-14","2024-05-29","2025-01-02","2025-04-16","2025-11-30"],"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":[["","","MONTELUKAST SODIUM","","","Select","Select",""],["","","FLUOXETINE HCL","","","Select","Select",""],["","","METFORMIN HCL","","","Select","Select",""],["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","ESOMEPRAZOLE MAGNESIUM","","","Select","Select",""],["","","QUETIAPINE FUMARATE","","","Select","Select",""],["","","PREGABALIN","","","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":""}]}]}