{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MICHAEL SANDERS","gend":0,"currentgend":"","add":"3289 IVANHOE ST","city":"DENVER","state":"CO","zip":"80207","dob":"1952-08-10","age":"","mstatus":"","insh":2000042781,"cliId":"","pno":"3033770159","cno":"3033770159","email":"","ename":"","eno":"","pphy":"NAVARRO-LEAHY, ANN K","ppno":3037983247,"pcpadd":"10099 RIDGEGATE PKWY,STE 360","pcpcity":"LONE TREE","pcpstate":"CO","pcpzip":"80124","pcpcounty":"","pcpid":"","pcpname":"PARK HILL FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"3289 IVANHOE ST","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80207","pcpfaxno":3037983248,"pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"2000042781","medicaidid":"","pcpFlag":""},{"a":{"indx":["","1","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["R918","R55","R9721","Z8546","Z743","R531","R001","R296","D649","I252","M7989","M5134","W19XXXA","M8568","Z7189","Z1211","R251","R2689","R42","C61","K7689","E46","F03918","E870","I4891","R030","J101","R262","W1830XA","R399","Z043","I5030","G3184","E876","N400","Z09","D122","K5730","K648","R791","I4719","I4710","I4720","I493"],"date":["2025-08-08","2025-08-13","2025-11-20","2025-11-20","2025-08-08","2025-08-08","2025-08-09","2025-08-09","2025-11-20","2025-08-10","2025-08-08","2025-08-08","2025-08-08","2025-08-08","2023-05-17","2024-11-22","2024-04-03","2024-04-03","2025-08-08","2025-09-25","2025-11-20","2025-09-25","2024-06-19","2024-07-17","2025-08-08","2025-09-19","2024-04-03","2024-04-04","2024-04-04","2025-01-15","2024-04-03","2025-06-13","2025-11-14","2025-08-11","2025-08-11","2025-09-10","2024-11-22","2024-11-20","2024-11-20","2025-08-08","2025-09-05","2025-09-05","2025-09-05","2025-09-05"],"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":[]}},{"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":""}]}]}