{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"EVA PANIAGUA","gend":1,"currentgend":"","add":"3845 N COOK ST","city":"DENVER","state":"CO","zip":"80205","dob":"1953-12-01","age":"","mstatus":"","insh":1020927674,"cliId":"","pno":"3032382588","cno":"3032382588","email":"","ename":"","eno":"","pphy":"RAMASWAMI, SAI ANANDI","ppno":5016221108,"pcpadd":"300 WERNER ST,","pcpcity":"HOT SPRINGS","pcpstate":"AR","pcpzip":"71913","pcpcounty":"","pcpid":"","pcpname":"SLOANS LAKE PRIM CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"3845 N COOK ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80205","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"1020927674","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R051","N390","J069","G8929","Z8679","Z1152","Z20822","R059","H25813","E119","H35363","H04123","H2511","I10","R001","M80052A","E1122","N1830","E1140","M25552","Z743","S72142A","X58XXXA","M810","Z4789","Z96652","I4891","I4892","I255","I5020","Z95810","I2510","S72142D","D62","Z87440","M80052D","I110","I5042","B9620","G9340","I130","R0902","N12","R52","I5030","I3481","I071","I2720","A419","E1129","F339","Z01818","R82998","N3000","M80852A","E1142","Z4502","Z1211","N179","I701","I129","H52223","N189","S72002A","N184","R634","H2512","D649","I1310","I5022","R918","Z959","I959","R4781","G4733","R29810","E1165","R6521","M25511","W19XXXA","Z96611","S72145A","R9431","R7989","R0989","R531","W1830XA","R1310","Z48810","J9621","B348","G9341","E8720","N1832","M898X9","M349","I252","L231","I491","J90","N1831","S7012XD"],"date":["2024-03-01","2025-05-22","2024-02-27","2025-11-12","2025-12-18","2024-02-27","2024-02-27","2024-02-27","2024-07-05","2024-10-21","2024-07-05","2024-06-20","2024-08-08","2024-08-08","2024-10-05","2024-10-09","2025-01-06","2024-10-11","2024-10-07","2024-10-05","2024-10-10","2024-10-06","2024-10-06","2025-05-20","2024-12-02","2024-12-02","2024-12-11","2024-12-11","2025-12-18","2025-12-18","2026-01-08","2025-04-24","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-10-21","2024-03-11","2024-03-08","2025-08-28","2024-02-05","2025-05-13","2024-10-10","2024-12-02","2024-12-02","2024-12-02","2025-08-28","2024-08-20","2024-08-22","2024-07-03","2024-07-05","2024-08-14","2024-11-05","2024-10-05","2026-01-06","2025-12-18","2025-06-20","2025-12-20","2024-06-13","2025-01-06","2024-07-05","2024-02-05","2024-11-27","2025-05-23","2025-10-23","2024-09-05","2024-11-13","2025-04-24","2025-08-28","2024-08-20","2024-08-20","2024-08-20","2024-08-20","2024-09-05","2024-12-18","2024-10-14","2024-03-09","2024-10-05","2024-10-05","2024-10-05","2024-10-05","2024-02-05","2024-07-07","2025-06-09","2024-08-21","2024-10-05","2025-06-09","2024-08-16","2024-03-10","2024-03-10","2024-03-11","2024-03-11","2024-03-25","2025-01-06","2024-10-18","2024-10-11","2024-02-09","2024-03-08","2024-03-08","2025-01-06","2024-10-15"],"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":[["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","TRAZODONE HCL","","","Select","Select",""],["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","SEMGLEE (YFGN) PEN","","","Select","Select",""],["","","TRAMADOL HCL","","","Select","Select",""],["","","BELBUCA","","","Select","Select",""],["","","TRUEPLUS LANCETS","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","NALOXONE HCL","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","GLIPIZIDE","","","Select","Select",""],["","","DEXCOM G6 SENSOR","","","Select","Select",""],["","","TRUE METRIX GLUCOSE TEST STRIP","","","Select","Select",""],["","","CLOPIDOGREL","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","LANTUS SOLOSTAR","","","Select","Select",""],["","","GABAPENTIN","","","Select","Select",""],["","","ULTICARE PEN NEEDLE","","","Select","Select",""],["","","MIRTAZAPINE","","","Select","Select",""],["","","ALENDRONATE SODIUM","","","Select","Select",""],["","","DEXCOM G6 RECEIVER","","","Select","Select",""],["","","TRUE METRIX AIR GLUCOSE METER","","","Select","Select",""],["","","ESTRADIOL","","","Select","Select",""],["","","OZEMPIC","","","Select","Select",""],["","","FLUOXETINE HCL","","","Select","Select",""],["","","BUTRANS","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","Select","Select",""],["","","DEXCOM G6 TRANSMITTER","","","Select","Select",""],["","","NITROGLYCERIN","","","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":{"indx":[["","","","",""],[],[""],[""],[""],[""],[""]],"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":""}]}]}