{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"MARVIN WILSON","gend":0,"currentgend":"","add":"2121 E 48TH AVE","city":"DENVER","state":"CO","zip":"80216","dob":"1972-04-01","age":"","mstatus":"","insh":7000007431,"cliId":"","pno":"7203381600","cno":"7203381600","email":"","ename":"","eno":"","pphy":"MADURAI, NAINITA K","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"PARK HILL FAM MED MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"UNIT 217","add3":"","madd1":"2121 E 48TH AVE","madd2":"UNIT 217","madd3":"","mcity":"DENVER","mstate":"CO","mzip":"80216","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000007431","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["F209","K222","K449","J449","J159","E871","F17218","A419","J189","J9601","N179","J441","D649","Z605","J984","R0602","R791","G9340","F1010","Z743","R29818","G8911","S2243XA","S2249XA","J939","X58XXXA","Z978","K2100","J9611","H5203","S62241A","Z1211","I959","Z09","R195","F1020","Z122","S225XXA","S299XXS","I159","S2243XD","R42","I081","F10129","R410","R918","Z4682","Z452","J9811","J90","I4710","X58XXXD","R1319","H524","R2681","S62241D","S2242XD","F10120","J432","Z460","R52","R000","I493","S2242XA","S270XXA","F319","V2991XA","S63061D","M12841","M20091","J440","F17210","M7022","R7989","F1090","R220","Z043","R748","S2231XA","T797XXA","V29491A","G8918","M20001","J9600","Z113","R0902","R945","K2210","R9089","R55","S42032A","M7989","V2931XA","Z041","V2891XS","J9383","I10","J9819","J948","J9589","S2221XA","S62511A","R1314","G319","I679","J324","T8182XA","S42022A","F17200","R160","W19XXXA","I5030","I3481","I517"],"date":["2025-12-05","2022-09-14","2025-08-03","2024-02-17","2024-02-13","2025-02-26","2024-02-13","2025-02-22","2024-02-17","2025-02-25","2024-02-09","2025-02-25","2024-02-09","2024-03-21","2024-02-06","2024-06-30","2024-06-28","2025-02-25","2025-02-26","2025-02-26","2025-07-31","2025-08-01","2025-08-21","2025-07-31","2025-07-31","2025-10-06","2025-08-01","2022-07-12","2024-03-14","2024-10-21","2025-10-06","2024-11-06","2022-07-28","2024-02-27","2024-11-21","2025-12-05","2025-04-17","2025-07-30","2025-08-18","2026-01-22","2025-09-02","2024-06-28","2022-11-11","2024-11-14","2025-02-22","2025-08-02","2025-08-04","2025-08-02","2025-08-04","2025-08-04","2025-08-04","2025-08-22","2023-04-18","2024-10-21","2024-11-14","2025-10-02","2025-08-20","2025-02-26","2022-03-11","2024-10-21","2025-08-02","2025-07-30","2025-07-30","2025-08-02","2025-08-04","2025-08-02","2025-08-04","2025-08-22","2025-08-22","2025-08-22","2024-02-17","2024-02-17","2022-07-18","2022-11-11","2023-06-29","2024-11-14","2024-11-14","2025-02-23","2025-07-30","2025-08-03","2025-07-30","2025-07-30","2025-10-06","2025-02-22","2024-11-14","2025-07-30","2023-04-18","2022-06-17","2025-02-23","2025-02-26","2025-07-31","2025-07-31","2025-07-31","2025-07-31","2025-07-31","2025-07-31","2022-10-11","2025-07-31","2025-07-31","2025-08-01","2025-07-30","2025-07-30","2022-03-22","2025-02-22","2025-02-22","2025-02-22","2025-08-01","2025-08-03","2025-12-05","2022-09-21","2024-11-14","2025-07-31","2025-07-31","2025-07-31"],"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":[["","","NALTREXONE HCL","","","Select","Select",""],["","","PALIPERIDONE ER","","","Select","Select",""],["","","QUETIAPINE FUMARATE","","","Select","Select",""],["","","BUPROPION HCL","","","Select","Select",""],["","","BENZTROPINE MESYLATE","","","Select","Select",""],["","","PREDNISONE","","","Select","Select",""],["","","OMEPRAZOLE","","","Select","Select",""],["","","AZITHROMYCIN","","","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":{"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":{"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":""}]}]}