{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"ANTHONY MARTINEZ","gend":0,"currentgend":"","add":"4842 E 131ST PL","city":"THORNTON","state":"CO","zip":"80241","dob":"1957-02-28","age":"","mstatus":"","insh":7000010764,"cliId":"","pno":"7202028320","cno":"7202028320","email":"","ename":"","eno":"","pphy":"VILLALOBOS, HELENA J","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"PE\u00d1A PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"MA - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"4842 E 131ST PL","madd2":"","madd3":"","mcity":"THORNTON","mstate":"CO","mzip":"80241","pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"7000010764","medicaidid":"","pcpFlag":""},{"a":{"indx":["","","","","","1","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["1",""],"comment":["",""],"sub":[]}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["I447","E440","J449","J45909","I110","R55","M5136","M47816","M4316","R0602","R1110","R634","R197","N400","R079","A419","R339","E43","I2510","K529","R509","Z20822","N401","Z760","H5713","Z743","S199XXA","Z4502","I4729","H524","H52223","R1310","R6330","D72829","N179","E1159","I255","Z955","I952","N189","Z95810","J849","J1282","U071","Z8679","Z950","R091","R300","M349","E8351","J189","D849","J9601","E876","I509","Z87891","I959","M1990","D649","R9431","I5023","I5022","I82A12","I82210","M351","Z7969","Z79620","R350","R351","G4733","I071","H6121","H60391","M1712","M1711","Z029","K921","J984","M3482","Z79899","R109","K50018","F064","M609","N3001","S76011A","D508","E559","B371","Z0189","H25813","I440","M8580","M60169","R5381","M170","H9311","H26493","E213","A4189","H04123","E860","I9589","G8918","R0902","R7989","L570","M79671","H43393","R918","I441","K5000","E8809","R42","K5289","K648","R933","R9720","J40","J384","M25761","M25762","M25461","M25462","M2342","H2511","H26491","Z961","I499","Z515","E46","D509","K5730","K644","I428","M19071","I10","K219","M154","M5450","R6881","Z48810","Z461","K224","Z9981","E669","S51812A","W268XXA","R739","R195","Z87448","D175","M5030","M9981","I5040","I209","I25110","R0600","H52222","I4720","I480","I5030","I517","I77810","R942","I459","I252","M25551","N139","R5383","H4389","K2289","J84112","R059","K50019","M62838","H2512","R072","R3911","I4581","M5412","Z09","I429","X503XXA","F17200","R1013","R1084","R531","R110","M340","N3000","T17808A","J479","J209","J42","G4734","J181","I951","R9389","J301","H903","S41112A","R7303","M1611","M533","S76091A","R0789","A4159","J1561","E7800","I5020","S45012A","S45212A","I9751","Z45018","R1319","K5900","M85852","M3481","E861","H26499","Z7189","H532","H539","H26492","U099","I4891","I259","J439","N3289","N323","J9611","R053","H938X1","F418","I472","G629","S45211A"],"date":["2026-01-09","2025-12-17","2026-01-27","2024-01-08","2025-02-27","2025-03-06","2022-09-12","2022-09-12","2022-09-12","2025-02-27","2023-04-26","2025-12-17","2023-05-06","2023-09-14","2025-02-21","2025-02-16","2023-08-26","2025-09-18","2025-03-21","2023-05-08","2023-05-04","2023-05-04","2025-12-11","2023-06-16","2023-07-18","2023-07-18","2023-09-29","2025-06-17","2024-06-14","2025-02-19","2024-07-31","2025-12-17","2025-12-17","2024-08-23","2025-02-15","2024-08-23","2025-09-26","2024-08-23","2024-08-23","2024-08-23","2026-01-09","2025-11-06","2025-02-21","2025-02-23","2025-05-06","2025-03-19","2024-11-11","2024-11-11","2025-11-06","2024-11-11","2026-01-27","2025-02-15","2025-02-15","2025-02-15","2026-01-27","2025-08-23","2025-02-27","2025-02-27","2025-04-03","2025-05-09","2025-03-02","2026-01-09","2025-03-20","2025-03-19","2026-01-27","2025-05-02","2025-05-02","2025-12-11","2025-12-11","2026-01-27","2025-09-26","2025-10-16","2025-10-16","2025-11-03","2025-11-03","2026-01-09","2023-04-28","2024-01-08","2022-12-12","2024-12-19","2022-10-13","2023-04-26","2024-02-22","2025-07-10","2023-08-26","2023-08-02","2023-10-03","2023-11-16","2024-02-01","2024-05-30","2024-07-31","2024-07-24","2025-03-27","2024-10-10","2024-10-21","2025-11-14","2024-11-25","2024-12-11","2025-02-24","2025-02-15","2025-02-19","2025-02-21","2025-02-27","2025-03-28","2025-03-17","2026-01-28","2025-10-17","2026-01-19","2023-07-19","2025-08-11","2022-11-12","2023-04-26","2023-04-26","2025-02-21","2023-05-01","2025-09-16","2023-05-06","2023-09-21","2023-12-26","2023-12-26","2024-10-17","2024-10-17","2024-10-17","2024-10-17","2024-10-17","2024-10-22","2025-01-15","2025-01-15","2025-02-21","2025-06-30","2025-06-30","2025-09-16","2025-09-16","2025-09-16","2026-01-09","2026-01-19","2024-09-10","2025-11-06","2022-07-25","2022-09-12","2023-09-20","2024-10-30","2025-03-03","2025-06-26","2025-08-14","2024-04-18","2022-06-20","2022-06-20","2023-05-12","2023-06-07","2023-06-23","2023-07-18","2023-09-22","2023-09-22","2024-05-30","2024-08-23","2024-08-23","2025-02-15","2025-02-19","2025-06-17","2025-06-17","2025-07-17","2025-07-17","2025-07-17","2025-08-23","2024-07-24","2024-10-24","2022-12-08","2023-05-03","2024-01-23","2024-02-01","2023-07-18","2024-04-29","2022-04-04","2023-05-03","2023-08-31","2024-09-10","2024-11-12","2024-11-12","2025-02-16","2023-09-19","2025-10-30","2022-11-11","2023-02-01","2023-05-01","2023-05-06","2023-05-04","2025-03-22","2023-05-04","2023-05-12","2023-09-21","2023-12-06","2025-03-28","2023-12-27","2023-12-27","2024-05-25","2024-08-28","2025-02-23","2025-03-19","2022-04-05","2025-01-06","2022-06-20","2022-08-04","2022-10-13","2022-10-13","2022-12-08","2024-08-22","2025-02-21","2025-02-21","2025-02-21","2025-03-22","2025-03-22","2025-03-22","2025-03-22","2025-03-28","2025-09-18","2025-09-18","2026-01-28","2022-09-26","2024-06-07","2025-01-15","2025-04-16","2023-07-18","2023-07-18","2024-12-11","2025-02-21","2025-02-21","2025-03-20","2025-03-28","2025-09-24","2025-09-24","2025-06-11","2026-01-05","2025-10-30","2023-02-15","2022-06-01","2024-12-19","2025-03-20"],"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":[["","","METOPROLOL SUCCINATE","","","Select","Select",""],["","","LOSARTAN POTASSIUM","","","Select","Select",""],["","","FARXIGA","","","Select","Select",""],["","","ONDANSETRON ODT","","","Select","Select",""],["","","ROSUVASTATIN CALCIUM","","","Select","Select",""],["","","CHLORHEXIDINE GLUCONATE","","","Select","Select",""],["","","FUROSEMIDE","","","Select","Select",""],["","","ENTRESTO","","","Select","Select",""],["","","TAMSULOSIN HCL","","","Select","Select",""],["","","OXYCODONE HCL","","","Select","Select",""],["","","NITROGLYCERIN","","","Select","Select",""],["","","SPIKEVAX 2023-2024","","","Select","Select",""],["","","SOTALOL","","","Select","Select",""],["","","AREXVY","","","Select","Select",""],["","","FLUZONE HIGH-DOSE QUAD 2023-24","","","Select","Select",""],["","","POTASSIUM CHLORIDE","","","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":""}]}]}