{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GLORIA COVARRUBIAS","gend":1,"currentgend":"","add":"1945 S GALAPAGO STREET","city":"DENVER","state":"CO","zip":"80223","dob":"1945-09-05","age":"","mstatus":"","insh":101835234,"cliId":"","pno":"3037221271","cno":"3037221271","email":"","ename":"","eno":"","pphy":"VENCI, JULIE A","ppno":3034366550,"pcpadd":"DENVER HEALTH ANESTHESIOLOGY,777 BANNOCK ST MC 0218","pcpcity":"DENVER","pcpstate":"CO","pcpzip":"80217","pcpcounty":"","pcpid":"","pcpname":"PE\u00d1A PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"1945 S GALAPAGO STREET","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80223","pcpfaxno":3034366548,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101835234","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I099","Z953","R350","R791","E871","S52031D","I509","R300","E1122","I4719","Z0389","S4991XA","M25421","R600","W19XXXA","Z952","Z98890","Z45018","I4891","I442","I340","I083","Z950","R7989","H6123","H269","E119","M546","I129","N184","D631","M109","R9431","H26493","Z961","M7989","R918","I5020","I082","Z95818","I350","S8012XA","U071","I0981","Z45010","N1830","E1136","H2512","E785","T8203XA","I517","I2720","I493","I130","I501","E11319","H26492","H43813","Z48810","Z4502","I4820","S8012XS","S42401A","N189","I4720","R0609","H2513","E113291","I050","I368","H11003","N3000","H2511","I10","H04123","H04222","H52203","R8290","I5089","I351","I071","I091","I454","I519"],"date":["2025-02-06","2025-12-22","2024-05-07","2024-06-25","2024-07-08","2024-09-03","2025-11-25","2024-12-06","2025-11-25","2025-11-12","2023-01-30","2024-07-06","2024-07-08","2024-07-06","2024-07-06","2025-04-02","2024-08-07","2025-11-12","2025-11-12","2025-11-12","2024-12-09","2024-12-04","2025-04-01","2022-01-06","2022-02-08","2022-04-04","2025-09-04","2023-01-30","2025-04-15","2025-11-25","2023-02-21","2022-11-08","2025-10-02","2024-04-10","2025-09-04","2024-07-07","2024-07-07","2024-08-14","2024-08-14","2024-08-14","2022-07-20","2023-08-08","2023-11-14","2024-08-07","2025-02-17","2025-10-23","2024-01-05","2022-02-14","2022-07-20","2022-10-26","2022-10-26","2022-10-26","2024-07-07","2025-11-25","2025-03-05","2025-08-28","2025-09-04","2025-09-04","2022-04-12","2025-04-01","2025-04-02","2023-08-08","2024-07-08","2024-07-08","2025-11-12","2025-11-12","2022-01-04","2022-01-04","2025-03-05","2025-04-02","2024-01-05","2025-04-18","2022-04-04","2022-04-04","2022-05-18","2022-05-18","2022-05-18","2025-04-15","2023-08-02","2025-03-05","2025-03-05","2023-01-11","2023-01-11","2025-04-01"],"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":[["","","PREDNISOLONE ACETATE","","","Select","Select",""],["","","TRUEPLUS PEN NEEDLE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","FLUZONE HIGH-DOSE 2025-2026","","","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":""}]}]}