{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"JOSE VILLALPANDO MARTINEZ","gend":0,"currentgend":"","add":"4501 W KENTUCKY AVE LOT 61","city":"DENVER","state":"CO","zip":80219,"dob":"1963-12-12","age":"","mstatus":"","insh":"MEM00000111243","cliId":"","pno":"7205792279","cno":"","email":"","ename":"","eno":"","pphy":"GUTIERREZ, CAROLINA P","ppno":"3037704040","pcpadd":"10099 RIDGEGATE PKWY,STE 410","pcpcity":"LONE TREE","pcpstate":"CO","pcpzip":80124,"pcpcounty":"","pcpid":"","pcpname":"PE\u00d1A PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"Event - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"4501 W KENTUCKY AVE LOT 61","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":80219,"pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"5X50MJ1UC35","medicaidid":"","pcpFlag":""},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]},{"a":{"indx":["","1"],"comment":["",""],"sub":{"indx":[["Spanish"]],"comment":[[]],"sub":[]}}},{"a":[]},{"a":[]}]},{"t":"Previously Documented Conditions","q":[{"a":{"diag":["A084","N186","K8689","I120","E11621","L84","Z029","R4182","G9340","R001","R404","N2889","N250","D631","N139","Z5972","Z992","N138","Z608","Z638","S60424A","R0602","R1084","S91302D","S95111D","S91301A","L03114","I959","U071","H543","G8918","N3289","N400","E1122","N200","K6389","R1011","E8770","E11628","L089","E1140","T25029A","S91301D","N390","I10","S91001A","I953","E1143","N13729","F0390","R109","Z743","K838","S91309A","E1142","L97412","L859","L989","X58XXXA","G929","I499","Z09","E8881","R9431","R1013","D638","R262","E8339","L03818","N1370","Z7189","Z23","Z0189","R52","R600","M7731","I708","S80819A","E1165","L602","J986","M19072","R5381","I672","H44522","J3489","R0789","R1030","L03012","R55","K869","Z0389","I340","I77810","K862","N280","L97519","R0902","Z5982"],"date":["2022-12-29","2026-01-16","2025-12-29","2026-01-02","2024-08-25","2024-07-23","2026-01-30","2026-01-02","2025-12-30","2026-01-02","2025-12-30","2025-12-29","2025-12-30","2025-12-30","2025-09-19","2025-09-19","2026-01-16","2026-01-16","2025-12-26","2026-01-16","2022-12-29","2022-12-29","2022-12-29","2024-10-31","2024-10-31","2024-10-31","2022-03-03","2022-05-14","2022-06-06","2022-11-15","2022-05-17","2023-12-30","2022-05-17","2026-01-02","2022-12-29","2022-12-29","2022-12-29","2022-12-31","2023-11-04","2023-11-04","2024-06-26","2024-06-26","2025-01-01","2026-01-02","2026-01-29","2024-08-25","2023-04-28","2024-06-26","2025-03-26","2025-02-14","2025-12-29","2024-08-25","2023-04-28","2023-11-24","2024-07-30","2024-07-30","2024-08-27","2024-08-25","2024-08-25","2026-01-02","2025-12-31","2022-06-03","2022-05-14","2022-06-06","2022-12-30","2022-12-30","2023-08-15","2024-05-20","2024-06-29","2024-11-22","2023-06-29","2023-05-09","2022-03-04","2023-11-05","2024-06-29","2024-06-29","2024-06-29","2024-08-27","2024-08-27","2024-08-27","2025-12-29","2023-11-04","2025-03-26","2025-12-29","2025-12-29","2025-12-29","2025-12-31","2022-05-14","2022-03-03","2023-04-30","2023-04-29","2023-04-28","2023-04-29","2023-04-29","2023-06-21","2023-06-21","2024-08-25","2022-06-06","2025-08-20"],"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":[]},{"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":{"indx":[["","","","",""],[],[""],[""],[""],[""],[""]],"comment":[["","","","",""],[],[""],[""],[""],[""],[""]],"sub":[]}}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["","1"],"comment":["",""],"sub":[]}},{"a":{"indx":["1",""],"comment":["",""],"sub":{"indx":[["","","","","",""],[],[""],[""],[""],[""],[""],[""],[""],[""],[""]],"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":""}]}]}