{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MANUEL RUIZ GARCIA","gend":0,"currentgend":"","add":"1401 JOSEPHINE ST","city":"DENVER","state":"CO","zip":"80206","dob":"1945-11-23","age":"","mstatus":"","insh":101982569,"cliId":"","pno":"7203755652","cno":"7203755652","email":"","ename":"","eno":"","pphy":"SACRO, YASMIN A","ppno":3033222240,"pcpadd":"4500 E 9TH AVE,SUITE 300","pcpcity":"DENVER","pcpstate":"CO","pcpzip":"80291","pcpcounty":"","pcpid":"","pcpname":"EASTSIDE ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"APT 501","add3":"","madd1":"1401 JOSEPHINE ST","madd2":"APT 501","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80206","pcpfaxno":3037991222,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"101982569","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["Spanish"]],"comment":[[]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["Z961","H25811","E113292","H5331","Z122","R918","E119","H04123","N3289","H2511","I10","I081","I5022","I429","I110","I2510","Z760","H524","H52223","G4733","C672","Z48816","Z4889","C679","R2689","Z743","R100","R001","I493","N289","M1612","I509","J449","Z8551","N3090","N1330","N323","N131","N179","D72829","N134","N130","N12","T83512A","N3020","A419","R0602","R1030","R6883","R7881","B961","B952","M79601","Z87891","N3000","N135","N401","R339","N138","I6782","I6381","Z95810","R338","N329","I130","R310","Z48810","Z01818","R319","E875","Z5112","Z08","E11319","Z0289","R9389","Z7689","N136","Z466","I6389","R82998","N189","R9431","R0902","T83091A","Z4502","I5020","I340","I700","N1831","E1122","R9341","Z98890","Z936","A4181","T8144XA","Z906","E8720","J9611","Z978","I255","Z960","N2889","R7612","E118","N281","H52203","E113293","I517","I5040","Z95818","R000","I440","I77810","Z1159","Z09","N390","I959","N400","R490","Z23","I739","R109","R079","N9989","M79631","Q6210","E1151","Z9841","Z9842","Z959","I7140"],"date":["2024-07-09","2023-02-22","2022-07-29","2022-07-29","2025-04-15","2024-01-25","2025-11-11","2024-07-09","2025-09-18","2023-03-29","2023-03-29","2023-04-21","2026-01-30","2023-10-31","2026-01-30","2026-01-30","2023-04-24","2024-07-09","2024-07-09","2023-08-19","2023-06-13","2026-01-06","2023-07-11","2026-01-12","2023-06-18","2023-06-18","2023-06-18","2024-04-29","2024-04-29","2024-06-24","2025-11-11","2025-11-11","2025-11-11","2025-11-26","2024-08-19","2025-08-25","2024-08-19","2025-05-01","2024-10-31","2024-12-20","2024-10-31","2025-06-05","2025-01-16","2024-12-23","2024-12-18","2024-12-17","2024-12-17","2024-12-17","2024-12-17","2025-01-09","2025-01-09","2025-01-09","2025-04-28","2025-04-15","2025-03-28","2025-05-01","2025-12-10","2025-10-10","2025-09-18","2025-08-08","2025-08-08","2026-01-21","2025-11-26","2025-11-26","2024-04-29","2023-05-24","2023-05-04","2025-11-26","2023-06-18","2023-07-18","2026-01-26","2025-07-08","2026-01-23","2024-09-05","2024-11-18","2024-12-11","2024-10-31","2025-11-14","2025-08-22","2025-02-11","2023-04-24","2023-06-18","2024-12-17","2023-06-18","2025-07-28","2024-04-25","2025-04-21","2024-04-25","2024-04-29","2024-04-29","2024-12-17","2025-10-16","2025-04-10","2024-12-20","2024-12-20","2024-12-23","2024-12-23","2024-12-20","2025-04-10","2026-01-30","2025-07-08","2024-10-31","2023-10-21","2025-02-17","2025-08-25","2024-07-09","2024-07-09","2024-12-19","2025-04-21","2024-12-19","2024-12-18","2024-12-18","2025-04-21","2022-04-26","2025-01-21","2024-12-20","2024-12-17","2025-08-25","2025-08-05","2022-07-26","2022-09-26","2024-12-18","2024-12-18","2024-12-21","2025-04-07","2025-05-28","2022-07-18","2023-04-06","2023-04-06","2024-12-17","2025-10-16"],"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":[["","","SPIRONOLACTONE","","","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":""}]}]}