{"history": [{"sno": "new", "year": "2024", "answer": [{"options": {"value": "CHRISTOPHER RATCLIFF", "optionId": "tuv"}, "questionId": "E-lowx"}, {"options": {"value": "1966-04-18", "optionId": "udb"}, "questionId": "T-iz6p"}, {"options": {"value": 101013363013, "optionId": "c4v"}, "questionId": "A-lowx"}, {"options": {"value": "2025-02-06T14:32"}, "questionId": "Q-iz6p"}, {"options": {"value": "2025-02-06"}, "questionId": "D-iz2p"}, {"options": {"value": "2025-2-6T14:32"}, "questionId": "D-zz6p"}, {"options": {"value": "7708771019", "optionId": "ciuphno"}, "questionId": "CI-Phno"}, {"options": {"value": "Focus Care", "optionId": "d4v"}, "questionId": "Z-lowx"}, {"options": {"value": "test adminFE", "optionId": "mqv"}, "questionId": "P-lowx"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "C-MVt5"}, "questionId": "C-MVt5"}, {"options": {"value": "Harm to self or others, Medication error requiring medical intervention, Death of recipient, Law enforcement response, Accident/incident with medical intervention, Hospice, Other", "optionId": ["av5", "bl5", "cz0", "jox", "nwz", "cihosp", "yp0"]}, "questionId": "W-w165"}, {"options": {"value": "Provider agency contact", "optionId": "w1v"}, "questionId": "I-lfwx"}, {"options": {"value": "3434333234", "optionId": "w0v"}, "questionId": "I-lmwx"}, {"options": {"value": "ABC@FOCUSCARES.COM", "optionId": "m3l"}, "questionId": "I-gbps"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "mml"}, "questionId": "I-gmms"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m29"}, "questionId": "I-abms"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m6q"}, "questionId": "I-gbqs"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m62"}, "questionId": "I-gbts"}, {"options": {"value": "Name of individuals or staff involved in or witness to the incident<br>Names of other agencies involved in the incident", "optionId": "m1l"}, "questionId": "I-gbmt"}, {"options": {"value": "Police/law enforcement, EMS, Fire Department, Guardian/Legal Representative, Other", "optionId": ["yv5", "ql5", "az0", "dox", "ep0"]}, "questionId": "C-w165"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "C-wV65"}, "questionId": "C-wV65"}, {"options": {"value": "Name of individuals or staff involved in or witness to the incident<br>Name of other agencies involved in the incident", "optionId": "m69"}, "questionId": "I-gbmw"}], "clientId": "client_003", "memberId": 101013363013, "referralId": "ldp", "submittedBy": "admin", "sentToQADate": "2025-02-06T09:05:25.054Z", "submittedUserType": "admin", "referralFormStatus": "0", "sentToHelpLineDate": ""}, {"sno": "34", "year": "2024", "answer": [{"options": {"value": "CHRISTOPHER RATCLIFF", "optionId": "tuv"}, "questionId": "E-lowx"}, {"options": {"value": "1966-04-18", "optionId": "udb"}, "questionId": "T-iz6p"}, {"options": {"value": 101013363013, "optionId": "c4v"}, "questionId": "A-lowx"}, {"options": {"value": "2025-02-06T14:32"}, "questionId": "Q-iz6p"}, {"options": {"value": "2025-02-06"}, "questionId": "D-iz2p"}, {"options": {"value": "2025-2-6T14:32"}, "questionId": "D-zz6p"}, {"options": {"value": "7708771019", "optionId": "ciuphno"}, "questionId": "CI-Phno"}, {"options": {"value": "Focus Care", "optionId": "d4v"}, "questionId": "Z-lowx"}, {"options": {"value": "test adminFE", "optionId": "mqv"}, "questionId": "P-lowx"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "C-MVt5"}, "questionId": "C-MVt5"}, {"options": {"value": "Harm to self or others, Medication error requiring medical intervention, Death of recipient, Law enforcement response, Accident/incident with medical intervention, Hospice, Other", "optionId": ["av5", "bl5", "cz0", "jox", "nwz", "cihosp", "yp0"]}, "questionId": "W-w165"}, {"options": {"value": "Provider agency contact", "optionId": "w1v"}, "questionId": "I-lfwx"}, {"options": {"value": "3434333234", "optionId": "w0v"}, "questionId": "I-lmwx"}, {"options": {"value": "ABC@FOCUSCARES.COM", "optionId": "m3l"}, "questionId": "I-gbps"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "mml"}, "questionId": "I-gmms"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m29"}, "questionId": "I-abms"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m6q"}, "questionId": "I-gbqs"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "m62"}, "questionId": "I-gbts"}, {"options": {"value": "Name of individuals or staff involved in or witness to the incident<br>Names of other agencies involved in the incident", "optionId": "m1l"}, "questionId": "I-gbmt"}, {"options": {"value": "Police/law enforcement, EMS, Fire Department, Guardian/Legal Representative, Other", "optionId": ["yv5", "ql5", "az0", "dox", "ep0"]}, "questionId": "C-w165"}, {"options": {"value": "CHF, Diabetes, HTN, COPD, Asthma, Other-Comment: Member stated that since last Thursday he has had a productive cough, runny nose & congestion - yellow/green drainage, some chest rattling felt but he feels much better today. He has been using cough drops to assist with being able to speak and suppress the cough. The member feels that he could possibly have an ear infection or pneumonia. He states that he plans on going to the doctor to follow up. Member has asthma and states that he has been using his inhaler 2-3 times per day. He has a nebulizer, suggested that he may consider using this as well as following up with his provider to check for COVID or any other respiratory illnesses. <br> <br>Member reports that his Dexcom sensor has been noted to have his blood sugar to be off by as much as 60. This is not the first time that this has happened and he will following up with his PCP about this.", "optionId": "C-wV65"}, "questionId": "C-wV65"}, {"options": {"value": "Name of individuals or staff involved in or witness to the incident<br>Name of other agencies involved in the incident", "optionId": "m69"}, "questionId": "I-gbmw"}], "clientId": "client_003", "memberId": 101013363013, "referralId": "ldp", "submittedBy": "admin", "sentToQADate": "2025-02-06T09:12:29.981Z", "submittedUserType": "admin", "referralFormStatus": 2, "sentToHelpLineDate": ""}], "last_updated": "02-06-2025 04:12:35"}