{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ROGER BLAKEMORE","gend":0,"currentgend":"","add":"1865 LARIMER ST","city":"DENVER","state":"CO","zip":"80202","dob":"1956-09-02","age":"","mstatus":"","insh":2000038466,"cliId":"","pno":"3037040442","cno":"3037040442","email":"","ename":"","eno":"","pphy":"LIEBOWITZ, DANIEL G","ppno":3129275015,"pcpadd":"1834 ROSEWOOD AVE,APT 206","pcpcity":"BOULDER","pcpstate":"CO","pcpzip":"80217","pcpcounty":"","pcpid":"","pcpname":"EASTSIDE ADULT MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"APT 1206","add3":"","madd1":"1865 LARIMER ST","madd2":"APT 1206","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80202","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000038466","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I499","R079","R000","Z743","I959","I071","I878","Z029","R918","K449","I480","R42","N280","R109","H2513","H43812","H5203","H52223","I493","I491","R001","I4510","I444","I4821","I2510","I4891","J3489","E8339","H25813","H04123","H52203","N200","R002","K4090","R5381","G4489","R5383","I4819","R1909","R519","N179","R251","E0590","R319","R310","N401","J9601","M7989","M79601","J441","K921","I7102","K8020","N400","R10819","R52","I10","Z87891","H3581","H539","I440","R55","K6289","R112","I7090","K922","I4719","R61","N132","K219","R21","Z20822","E0580","J449","Z1211","K644","I452","R399","R339","R3912","J9811","J986","J984","H9313","I872","R600","I252","I700","R7989","R531","Z7901","Z48812","N1831","Z95810","N1330","I7140","F17210","I7143","H538","I471","Z5181","U071","Z122","G479","G4700","K5900","Z0189","I517","I3139","R58","I25119","I358","E876","Z7982","M79621","I5030","I498","I25118","F17200","N289","H3412","I442","R0602","I509","Z91148","I120"],"date":["2022-02-09","2024-11-27","2022-03-10","2026-01-11","2022-03-10","2025-05-09","2022-03-23","2026-01-27","2025-05-28","2024-08-05","2024-09-12","2025-05-28","2023-01-03","2024-11-06","2023-12-29","2023-12-29","2025-02-06","2025-02-06","2024-11-25","2025-05-29","2025-01-22","2026-01-12","2026-01-12","2024-10-03","2026-01-27","2026-01-13","2024-11-06","2024-11-27","2025-02-06","2025-02-06","2025-02-06","2025-03-13","2026-01-27","2026-01-12","2026-01-11","2026-01-11","2026-01-27","2026-01-27","2022-05-25","2023-07-21","2023-11-17","2025-04-03","2025-12-26","2025-05-14","2025-06-18","2025-10-08","2026-01-13","2022-03-22","2024-04-28","2024-07-03","2024-08-04","2025-05-08","2022-08-30","2022-08-30","2022-11-23","2026-01-11","2025-07-22","2025-03-26","2023-04-21","2023-03-18","2024-07-14","2024-03-22","2024-03-21","2024-07-14","2024-08-05","2024-08-05","2024-11-25","2022-07-14","2025-03-13","2023-07-14","2023-10-12","2024-03-20","2026-01-05","2026-01-13","2025-09-16","2024-03-21","2023-11-25","2025-10-08","2025-10-08","2025-10-08","2026-01-12","2026-01-12","2026-01-12","2023-08-17","2022-02-05","2022-02-05","2023-01-10","2024-12-13","2025-05-08","2024-01-13","2025-03-26","2024-09-18","2025-05-08","2024-11-06","2025-03-13","2025-05-08","2025-05-05","2025-05-08","2023-03-18","2022-10-31","2023-01-30","2023-01-30","2024-05-13","2024-07-19","2024-07-19","2024-08-04","2024-11-06","2024-12-13","2024-12-13","2025-03-13","2026-01-13","2024-12-12","2022-02-09","2022-02-09","2024-04-28","2025-05-09","2025-05-29","2025-10-02","2025-10-02","2026-01-12","2023-03-24","2024-03-22","2024-04-28","2025-05-08","2025-05-08","2026-01-12"],"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":[["","","AMLODIPINE BESYLATE","","","Select","Select",""],["","","CEPHALEXIN","","","Select","Select",""],["","","XARELTO","","","Select","Select",""],["","","BUDESONIDE-FORMOTEROL FUMARATE","","","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":""}]}]}