{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"AHMED ZAINA","gend":0,"currentgend":"","add":"16090 E RADCLIFF PL","city":"AURORA","state":"CO","zip":"80015","dob":"1955-04-14","age":"","mstatus":"","insh":2000038810,"cliId":"","pno":"3034199289","cno":"3034199289","email":"","ename":"","eno":"","pphy":"HIGGINSON, CHRISTOPHER C","ppno":5126937045,"pcpadd":"250 FILLMORE ST,STE 150","pcpcity":"DENVER","pcpstate":"CO","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"LOWRY FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"APT B","add3":"","madd1":"16090 E RADCLIFF PL","madd2":"APT B","madd3":"","mcity":"AURORA","mstate":"CO","mzip":"80015","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000038810","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I130","E1122","N189","E1165","D8481","E11319","I2510","Z951","E1169","E785","I25810","R072","I129","R079","R0609","I517","I3481","I351","D649","I25119","I2584","I2583","T1490XA","R52","E1159","I509","Z7984","Z794","E11311","G4489","E1121","M79602","Z09","M25572","W108XXA","H33312","N1832","N250","Z029","Z1211","S40212A","I10","I7090","H43812","Z98890","D509","D123","K2960","B9681","M79672","H40033","D631","K2950","Z0189","R9431","I252","R600","Z461","R030","E113513","E1136","Z6824","M25512","R5383","R918","M7989","V4940XA","Y92410","I6381","I5189","I358","E1129"],"date":["2024-02-28","2025-04-29","2024-02-28","2025-10-15","2023-08-23","2023-08-23","2025-08-23","2024-09-30","2024-02-28","2024-09-25","2024-09-25","2024-06-24","2025-04-29","2025-10-15","2024-06-24","2024-09-30","2024-09-30","2025-08-22","2025-07-01","2025-08-22","2025-08-22","2025-08-22","2025-10-15","2025-10-15","2024-02-28","2024-02-28","2024-02-28","2024-02-28","2025-06-19","2025-04-09","2025-04-29","2025-08-23","2025-09-05","2023-12-14","2023-12-14","2025-06-19","2025-08-23","2025-04-29","2025-07-01","2025-05-01","2025-10-15","2025-11-12","2025-02-04","2025-04-24","2025-06-19","2025-07-01","2025-07-01","2025-07-01","2025-07-01","2023-12-20","2023-04-25","2024-06-11","2025-07-01","2025-08-22","2025-08-22","2025-08-22","2025-08-23","2023-05-02","2023-06-15","2023-06-15","2023-08-23","2023-08-23","2025-10-15","2024-09-25","2025-08-22","2025-08-21","2025-10-15","2025-10-15","2025-04-06","2025-08-22","2025-08-22","2023-12-19"],"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":[]},{"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":[]}},{"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":""}]}]}