{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"RIGOBERTO CASTILLO RUIZ","gend":0,"currentgend":"","add":"6250 FEDERAL BLVD LOT 31","city":"DENVER","state":"CO","zip":80221,"dob":"1967-03-13","age":"","mstatus":"","insh":"MEM00000196828","cliId":"","pno":"9512271340","cno":"","email":"","ename":"","eno":"","pphy":"FEIJOO, BENJAMIN M","ppno":"","pcpadd":"","pcpcity":"","pcpstate":"","pcpzip":"","pcpcounty":"","pcpid":"","pcpname":"PE\u00d1A PRIMARY CARE MEDICAL HOME","plan":"Denver Health","program":"Medicare","lob":"Event - Wave 1","region":"","aligned":"","ano":"","add2":"","add3":"","madd1":"6250 FEDERAL BLVD LOT 31","madd2":"","madd3":"","mcity":"DENVER","mstate":"CO","mzip":80221,"pcpfaxno":"","pcpnpi":"","currentgendcomment":"","pphycomment":"","uniqueid":"","medicareid":"6H78FW3DX54","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":["N186","Z940","T8619","L03115","Z4822","D803","B343","E11649","E11621","Z01818","I358","E1122","Z992","Z029","Z48298","D84821","N189","R140","E8339","Z79899","Z7960","I10","Z8619","R509","R918","I4510","R0902","T82858A","Z7682","N1831","R609","R600","M7989","E1129","L97412","Z794","L97519","L84","E1142","E1169","E782","E1165","T380X5A","N179","D619","E8720","Z5181","D649","E8770","E1159","I152","E785","K5909","E875","D849","E1121","D608","D6489","R42","I120","L089","R0689","E871","E6609","E559","Z6830","I080","I700","R12","S91309A","Z125","I445","S91311A","M19071","X58XXXA","Z0189","L97515","I701","Z79621","J9811","R0989","I083","I3139","Z01810","R058","J398","J069","R059","T8613","B976","E806","I517","I491","N19"],"date":["2024-12-17","2026-01-13","2025-03-04","2024-07-01","2025-10-16","2024-10-24","2025-03-06","2024-12-05","2024-12-20","2024-01-25","2024-01-02","2024-12-17","2024-12-05","2026-01-13","2025-10-16","2025-06-18","2025-06-18","2024-03-22","2024-03-22","2025-06-18","2025-10-16","2025-10-16","2025-10-16","2025-03-06","2025-03-06","2025-03-05","2024-07-03","2023-06-29","2024-01-16","2024-02-21","2024-02-14","2024-07-01","2024-07-01","2025-10-16","2024-07-09","2025-10-16","2024-12-20","2024-12-17","2024-12-17","2025-10-16","2025-10-16","2024-06-24","2024-01-28","2024-07-01","2024-03-08","2024-04-05","2024-06-23","2025-10-16","2025-03-05","2024-02-21","2024-02-21","2024-07-02","2024-01-31","2024-06-23","2024-07-02","2024-06-22","2024-06-22","2024-06-23","2024-06-21","2024-06-23","2024-07-01","2024-07-01","2024-07-01","2024-02-21","2025-03-21","2024-02-21","2024-01-02","2024-01-02","2024-07-02","2024-06-12","2023-08-30","2023-11-09","2024-06-12","2024-06-12","2024-06-12","2024-01-16","2024-11-05","2023-08-08","2024-06-23","2024-07-01","2025-03-04","2025-03-05","2025-03-05","2024-01-02","2024-04-26","2024-04-26","2024-04-26","2024-04-26","2025-03-04","2025-03-04","2024-11-11","2024-01-16","2024-01-16","2023-11-09"],"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":[["","","LISINOPRIL","","","Select","Select",""],["","","FREESTYLE LIBRE 2 SENSOR","","","Select","Select",""],["","","SULFAMETHOXAZOLE-TRIMETHOPRIM","","","Select","Select",""],["","","LANTUS SOLOSTAR","","","Select","Select",""],["","","FUROSEMIDE","","","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":{"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":""}]}]}