{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"GARY RUSCIO","gend":0,"currentgend":"","add":"6741 W YALE AVE","city":"LAKEWOOD","state":"CO","zip":"80227","dob":"1950-08-09","age":"","mstatus":"","insh":2000008452,"cliId":"","pno":"7209871688","cno":"7209871688","email":"","ename":"","eno":"","pphy":"","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"6741 W YALE AVE","madd2":"","madd3":"","mcity":"LAKEWOOD","mstate":"CO","mzip":"80227","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000008452","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I509","E8770","J159","J449","J9611","Z9981","I4891","D6869","I10","E785","F324","E6601","Z6836","J9621","J441","I5030","R7401","I493","I491","I110","I480","G250","R079","J849","R942","Z87891","I2510","E782","R7989","R600","F32A","F419","I5032","K759","M19041","M19042","Z8719","N529","E559","G4730","Z9181","G4700","K760","J8410","E66811","J984","J432","R932","Z09","G4733","J84112","H5213","J9601","R0902","R0600","I2720","R0609","R001","I517","J811","Z66","J129","J439","Z743","R0602","J9691","R918","Z122"],"date":["2023-07-16","2023-07-16","2023-08-15","2025-08-11","2025-08-11","2025-11-17","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2025-03-01","2025-03-01","2026-01-29","2025-02-28","2025-05-04","2025-05-04","2026-01-29","2025-05-30","2025-05-13","2025-07-02","2025-08-11","2025-07-03","2025-07-03","2026-01-29","2025-12-11","2026-01-29","2023-05-02","2023-05-02","2023-05-02","2025-07-25","2025-12-22","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2024-09-24","2025-12-22","2025-07-03","2025-04-28","2025-08-11","2025-08-11","2025-12-22","2025-03-24","2023-07-20","2025-10-24","2026-01-15","2025-02-27","2025-02-27","2025-03-01","2025-06-20","2025-07-02","2023-01-11","2025-02-28","2023-07-16","2025-03-01","2025-03-01","2025-05-22","2025-02-27","2025-02-27","2022-11-18","2025-03-01","2025-04-17"],"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":[["","","DOXYCYCLINE HYCLATE","","","Select","Select",""],["","","AMOXICILLIN-CLAVULANATE POTASS","","","Select","Select",""],["","","PIRFENIDONE","","","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":""}]}]}