{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Gercileia De Sousa", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "C0028994000", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1971-02-03", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-08-16T21:29"}, "questionId": "W-iz6p"}, {"options": {"value": "7819249672", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "f.okonkwo@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Florence Okonkwo", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Other, Behavioral Health", "optionId": ["epq", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "A 54-year-old female with Depression, Essential (primary) hypertension, Hemorrhoid, Low back pain, lymphocytic colitis, adenomyosis of the uterus, intramural leiomyoma, fatigue and Iron deficiency anemia presents for assessment. Very cooperative with assessment which was done with Portuguese language interpreter; ID code- 19047. The member was alert and oriented x 3; maintained good eye contact. Endorsed fatigue, insomnia, anorexia related to depression and some safety concern. Has also reported an unintentional weight loss. The member has not visited her PCP in the past 12 months due to insurance problem in the past; and is currently not taking any medication for her hemorrhoid, depression, low back pain and GI symptoms. Member reported history of DV from her ex-husband whom she had divorced. Stated that her ex knows where she lives and believed that an attempted home invasion done recently in her house was done by her ex-husband. The member, therefore, requested that the Evaluator should call 911 for her safety. 911 was called and the report was provided to the police by the Evaluator.", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "Reconnect with primary care to resume treatment of her depression, GI symptoms, low back pain and hemorrhoid. Also need to update her annual physical exams including mammogram, cervical cancer screening and colon cancer screenings. Labs are needed including annual labs- A1c, lipid, CMP, CBC, and Iron/TIBC/Ferritin. Need referral to Gastroenterologist/general surgery for her GI symptoms and hemorrhoid. Some history of genitourinary disorders including adenomyosis and will require referral to Obgyn.", "optionId": "l6l"}, "questionId": "P-gbms"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "8572331697", "optionId": "i4v"}, "questionId": "S-lowx"}], "clientId": "client_013", "memberId": "C0028994000", "referralId": "vu8", "submittedBy": "FOkonkwo", "sentToQADate": "2025-08-17T01:35:19.062Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}