{"memberId": "10000077557", "clinician": "Jessica Doughty", "qaAnalyst": "Holly Beck", "queryData": [{"date": "Wed, 18 Feb 2026 15:18:29 GMT", "name": "Holly ", "role": "qa", "files": [], "query": {"feedback": "\n1) Pt taking medication or HTN and HLD can you add to the cardiac section\n2) pt taking medication for  GERD, can you add to GI section\n3) pt taking medication or depression, anxiety, insomnia  and tremor, can you add these four  to the NEURO section, when depression is selected it will also pre-populate the PHQ9 questions can you select answers for these 9 questions as well\n4) Pt taking medication FOR BPH, can you add to GU section\n5) Does he have an active wound? Can you add information under the integumentary  section, it looks like he is taking doxycycline on the med list for a wound infection\n6) systolic elevated 162, did you gret a repeat blood pressure? or add comment did he take his medication yet or report these are his normal reading \n7) it looks like his Blood sugar was also elevated, I created a Case managment referall for elevated blood pressure, blood sugar, and lack of socail support, etc for the member", "response": ""}, "mailId": ""}, {"date": "Mon, 23 Feb 2026 22:31:38 GMT", "name": "Jessica ", "role": "nurse", "files": [], "query": {"feedback": "", "response": "Thanks Holly.\nI have made the changes below and noted for future visits.\nPlease note that I intentionally did not refer him for case management, and I would ask that you cancel the referral you made.\nHe is adamantly against any further action for his current situation - as evidenced by his lack of acknowledgement of depression and anhedonia in his interview\nI would have recommended a case management referral for him otherwise.\nBP elevated d/t not taking meds prior to visit, documented this - again, he states BP is at goal when he is taking his meds. \nDiabetes is not well-managed, he is aware of this, and does not want help with improving it. \nI'm aware that his conditions are not ideally managed currently - but if he declines further help and support, I feel it's our place to honor that and not initiate a referral that he does not want.\nPlease let me know if I am not correct about this for future. Thank you!"}, "mailId": ""}], "memberName": "Robert Melaugh", "codingAnalyst": "", "dateOfService": "02/14/2026 03:30 PM", "clinicianMailId": "j.doughty@focuscares.com", "qaAnalystMailId": "h.beck@focuscares.com", "codingAnalystMailId": ""}