{"sno": "new", "year": "2025", "answer": [{"options": {"value": "ALBARO ESTRADABENCOMO", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 2000307174, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1958-03-27", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-07-16T10:05"}, "questionId": "UNW-iz6p"}, {"options": {"value": "3073717373", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "y.liu@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Yanhua Liu", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Diabetes, Other", "optionId": ["nul5", "nuepq"]}, "questionId": "NU-w165"}, {"options": {"value": "67 years old Hispanic Male with HTN, diabetes and ESRD is on routine hemodialysis on Monday, Wednesday and Friday. <br>non-urgent referral for below concerns. <br>1, Transportation assist. He has lower back pain while walling and unsteady gait with cane. <br>2, Abdominal Aortic Aneurysm screening for current smoker.<br>3,No money for medications/ OTC supplement.<br>4, Eyes check due to Diabetes with blurred vision.<br>5, weight loss.<br>6, long curly toe nails. Pt aware he can not cut toenails by himself due to diabetes. <br>7,Fine tremor while drawing clock face. ", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "0000000000", "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": "non-urgent referral for below concerns. <br>1, Transportation assist. He has lower back pain while walling and unsteady gait with cane. <br>2, Abdominal Aortic Aneurysm screening for current smoker.<br>3,No money for medications/ OTC supplement.<br>4, Eyes check due to Diabetes with blurred vision.<br>5, weight loss.<br>6, long curly toe nails. Pt aware he can not cut toenails by himself due to diabetes. <br>7,Fine tremor while drawing clock face. ", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "clientId": "client_015", "memberId": 2000307174, "referralId": "nuvu8", "submittedBy": "YLiu", "sentToQADate": "2025-07-16T16:06:32.341Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}