{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"FREDERICK YORK","gend":0,"currentgend":"","add":"2700 N MILWAUKEE ST","city":"DENVER","state":"CO","zip":"80205","dob":"1959-07-19","age":"","mstatus":"","insh":2000025006,"cliId":"","pno":"7202809781","cno":"7202809781","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":"2700 N MILWAUKEE ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80205","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000025006","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["E0590","R946","E1065","I70203","L603","B351","L84","D473","E039","E1010","I10","F528","Z03818","E161","K5900","I509","I110","E119","F0390","E673","F03918","Y040XXD","E559","K219","Z79899","J449","E10649","E785","Z23","E11649","E870","G40909","R69","R569","H40023","H2513","R718","K08109","L853","G4089","U071","F0391","R410","R000","E109","Z008","I708","E1365","D696","E871","Z1152","E1165","Z7409","F419","F02A18","F4321","I959"],"date":["2022-03-16","2026-01-30","2026-01-30","2026-01-07","2026-01-07","2026-01-07","2026-01-07","2026-01-30","2022-10-04","2023-12-31","2026-01-30","2025-12-23","2022-10-10","2023-02-15","2023-02-15","2025-09-19","2025-09-19","2025-10-03","2025-08-28","2024-04-12","2026-01-30","2024-10-01","2025-12-23","2026-01-30","2025-11-03","2026-01-30","2026-01-30","2025-12-23","2024-10-01","2025-12-23","2025-12-23","2025-09-19","2025-09-19","2025-09-20","2022-08-03","2022-08-03","2022-09-29","2023-12-06","2025-12-23","2026-01-30","2022-11-07","2022-09-29","2023-11-02","2023-11-02","2022-01-05","2025-01-29","2026-01-30","2025-11-17","2022-09-12","2022-10-05","2022-10-07","2025-10-31","2022-09-28","2022-10-13","2022-10-13","2022-10-24","2025-12-23"],"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":[["","","RISPERIDONE","","","Select","Select",""],["","","INSULIN GLARGINE-YFGN","","","Select","Select",""],["","","JANUVIA","","","Select","Select",""],["","","LANTUS","","","Select","Select",""],["","","INSULIN GLARGINE","","","Select","Select",""],["","","INSULIN LISPRO KWIKPEN U-100","","","Select","Select",""],["","","LEVEMIR FLEXPEN","","","Select","Select",""],["","","SERTRALINE HCL","","","Select","Select",""],["","","JARDIANCE","","","Select","Select",""],["","","LEVEMIR","","","Select","Select",""],["","","ATORVASTATIN CALCIUM","","","Select","Select",""],["","","SEMGLEE (YFGN) PEN","","","Select","Select",""],["","","LISINOPRIL","","","Select","Select",""],["","","TRIAMCINOLONE ACETONIDE","","","Select","Select",""],["","","METHIMAZOLE","","","Select","Select",""],["","","INSULIN GLARGINE SOLOSTAR","","","Select","Select",""],["","","PAXLOVID (EUA)","","","Select","Select",""],["","","INSULIN LISPRO","","","Select","Select",""],["","","COMBIVENT RESPIMAT","","","Select","Select",""],["","","MEDROXYPROGESTERONE ACETATE","","","Select","Select",""],["","","SEMGLEE (YFGN)","","","Select","Select",""],["","","LANTUS SOLOSTAR","","","Select","Select",""],["","","OXYCODONE-ACETAMINOPHEN","","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","","","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":""}]}]}