{"sno": "new", "year": "2025", "answer": [{"options": {"value": "MARIA CORTES DAVALOS", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 2000280124, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1977-09-12", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-09-12T16:51"}, "questionId": "UNW-iz6p"}, {"options": {"value": "7203644484", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "p.tabbilos@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Patricia Gail Tabbilos", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Other", "optionId": ["nuepq"]}, "questionId": "NU-w165"}, {"options": {"value": "Patient is a 48 y/o pleasant Hispanic female with SLE, hypertension, dermatomyositis, and lupus nephritis. She does not have PCP and stated that DH is finding one for her.<br>Non-urgent case management referral:<br>- Needs help getting PCP,  patient stated that DH will help her in getting a PCP, would like to discuss advanced care directive with doctor and family, discuss side effects and long-term benefits of medication (i..e, patient admitted that she is not aware of long term benefits of current meds); No DM and cholesterol screening, colonoscopy, COVID -19 and STI/HIV screening done within the past 3 years. She is also waiting to be seen by dermatologist for rashes on upper chest, b/l shoulders and arms, she stated that her neurologist is aware of her skin condition.<br>- Needs social eval - would like to avail for free sphygmomanometer, patient is not sure if they have carbon monoxide detector at home.", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "7205909964", "optionId": "uni4v"}, "questionId": "UNS-lowx"}, {"options": {"value": "Yes", "optionId": "unsu8"}, "questionId": "UNQ-jtcz"}, {"options": {"value": "No", "optionId": "unl6B"}, "questionId": "UNA-que"}, {"options": {"value": "No", "optionId": "unl6D"}, "questionId": "UNB-que"}, {"options": {"value": "<br>Non-urgent case management referral:<br>- Needs help getting PCP,  patient stated that DH will help her in getting a PCP, would like to discuss advanced care directive with doctor and family, discuss side effects and long-term benefits of medication (i..e, patient admitted that she is not aware of long term benefits of current meds); No DM and cholesterol screening, colonoscopy, COVID -19 and STI/HIV screening done within the past 3 years. She is also waiting to be seen by dermatologist for rashes on upper chest, b/l shoulders and arms, she stated that her neurologist is aware of her skin condition.<br>- Needs social eval - would like to avail for free sphygmomanometer, patient is not sure if they have carbon monoxide detector at home.<br><br>This is a complete face-to-face visit performed in the members’ home. Spanish interpreter was used via Language Link.  Verbal consent was received by the patient to conduct this HRA visit. Patient identity was verified by picture ID, address and DOB. Provided counseling for Preventive Health maintenance recommendations. Any conditions NOT identified in the HRA are considered resolved or are unable to be confirmed. The member has been advised to follow up with their PCP or specialist with any questions involving changes, updates, or alteration of their medications and health care. Member advised to contact member services using the number on the back of insurance card with any plan questions or services needed.<br>", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "update": false, "clientId": "client_015", "memberId": 2000280124, "referralId": "nuvu8", "submittedBy": "PTabbilos", "sentToQADate": "2025-09-12T22:56:56.364Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}