{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL WEBSTER","gend":0,"currentgend":"","add":"796 S YATES ST","city":"DENVER","state":"CO","zip":"80219","dob":"1961-03-10","age":"","mstatus":"","insh":101514983,"cliId":"","pno":"7204363872","cno":"7204363872","email":"","ename":"","eno":"","pphy":"SHLAY, JUDITH C","ppno":2142171911,"pcpadd":"12221 MERIT DR,STE 1610","pcpcity":"DALLAS","pcpstate":"TX","pcpzip":"75230","pcpcounty":"","pcpid":"","pcpname":"DH PAV G ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"796 S YATES ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80219","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101514983","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["G4733","J849","J449","H524","H52223","R932","K7460","K760","R188","M869","M009","I5020","I517","I340","I5189","I4510","K8689","N179","I4891","R6510","D72829","Z0189","I82220","B965","R9431","R918","K7469","E1122","N189","E871","I2510","I252","I519","Z89422","E119","I739","H25813","E1100","E0800","K7030","I10","R000","H401134","I259","S91109A","E08621","M86272","Z4781","K766","R739","E1121","K7031","E1136","K529","F1020","J188","D649","R6889","E118","K219","E663","F17210","E1169","E785","E1140","L97529","S2232XA","D689","E8720","E876","N1330","R93421","R93422","Z0000","S92512A","I459","I3481","I700","I491","H5213","Z760","S91105A","W19XXXA","Z98890","Z7984","I454","Z6829","E8721","Z4802"],"date":["2025-11-26","2023-12-19","2024-09-15","2024-10-24","2026-01-29","2024-04-25","2026-01-12","2025-10-11","2026-01-12","2025-08-26","2025-08-08","2025-10-12","2025-10-12","2025-10-12","2025-10-12","2025-10-14","2026-01-12","2025-11-11","2025-10-13","2025-10-11","2025-10-13","2025-10-11","2025-10-13","2025-10-15","2025-10-13","2026-01-13","2025-10-15","2025-10-13","2025-10-13","2025-10-13","2025-11-04","2025-11-04","2025-11-04","2026-01-21","2026-01-21","2026-01-21","2026-01-29","2025-04-08","2024-07-25","2025-12-01","2024-09-15","2024-11-27","2025-12-08","2025-05-06","2025-05-28","2025-07-02","2025-07-22","2026-01-21","2025-10-20","2025-10-24","2025-11-11","2025-12-09","2026-01-29","2022-07-25","2025-02-25","2025-10-20","2025-10-24","2026-01-12","2026-01-27","2024-09-15","2022-08-27","2022-08-27","2024-09-15","2024-09-15","2025-10-14","2025-08-12","2025-10-11","2025-10-14","2025-10-12","2025-10-12","2025-10-11","2025-10-11","2025-10-11","2025-07-23","2025-07-25","2024-11-27","2025-01-06","2025-01-06","2025-10-14","2022-06-16","2025-02-25","2025-07-25","2025-07-25","2025-08-22","2025-11-11","2025-10-12","2024-09-15","2025-10-13","2025-10-14"],"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":[["","","FLUARIX TRIVALENT 2024-2025","","","Select","Select",""],["","","PFIZER COVID BIVAL (12Y UP)EUA","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","FLUBLOK QUAD 2023-2024","","","Select","Select",""],["","","COMIRNATY 2023-2024","","","Select","Select",""],["","","FLUCELVAX QUAD 2022-2023","","","Select","Select",""],["","","FUROSEMIDE","","","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":""}]}]}