{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Lauren Calvino", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": "NH018090200", "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1992-12-16", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-10-17T13:40"}, "questionId": "UNW-iz6p"}, {"options": {"value": "6039134714", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Other, Behavioral Health", "optionId": ["nuepq", "bhd"]}, "questionId": "NU-w165"}, {"options": {"value": "New PCP, GI Consult, Mental Health counselor - very complex health background", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "8048745660", "optionId": "uni4v"}, "questionId": "UNS-lowx"}, {"options": {"value": "No", "optionId": "unqdp"}, "questionId": "UNQ-jtcz"}, {"options": {"value": "No", "optionId": "unl6B"}, "questionId": "UNA-que"}, {"options": {"value": "No", "optionId": "unl6D"}, "questionId": "UNB-que"}, {"options": {"value": "Member has a complicated health history and needs care management of his conditions to find the right care path.  As of right now all he has is a psychiatrist that prescribes him medications for his ADHD/narcolepsy, and overactive bladder.  <br>- Mental Health Counseling - member has a provider for his medications but realizes that he does need a counselor or therapist to speak with.  In the past he was diagnosed with anxiety, depression, and schizoaffective disorder but reports that he was not given that this was a definite diagnosis, nor has he had any issues in years. Member has 2 prescription doses for his Methylphenidate.  Advised member to ask his psychiatrist for referrals on therapist as well as contact member services.  Also, advised member to clarify when he is supposed to be using which dose of his Methylphenidate. dog recently passed away which has caused him some sadness but not overall feelings of depression.  <br>- New PCP needed- Member does not have a PCP at this time.  He has been seeing his psychiatrist.  The PCP that he was initially assigned to was not a great fit for him and he would like a new one.  He requested that his new PCP just not be at St. Joseph's hospital.  The member was born a female but states that over the past few years he has been trying to transition to male.  He was started on testosterone and started having a discharge that was not blood so he was told to stop using the testosterone.  His request is that he has a PCP that is well versed in transitioning so that he may continue to fully transition to a male.  The providers that he has been assigned are not well versed in transitioning so they have not been a great fit for him.  <br>- GI specialist - Member reports that he has been having an increased bloating and pressure feeling inside. The member has been using laxatives to assist and I advised him that this may be a reason for the increased feeling.  Also, he may have some underlying condition that may need further evaluation.   This has caused him to have a decreased appetite.  He has lost weight over the years but he states that he feels he is eating adequately considering the bloated and pressure he feels in his abdomen and chest.   Member advised to contact member services for GI consult.  <br>", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "update": false, "clientId": "client_013", "memberId": "NH018090200", "referralId": "nuvu8", "submittedBy": "chembrick", "sentToQADate": "2025-10-17T17:42:16.316Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "10-17-2025 13:42:16"}