{"sno": "new", "year": "2025", "answer": [{"options": {"value": "EDUARDO GARCIA ROLDAN", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 2000265368, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1988-10-12", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-07-29T15:27"}, "questionId": "UNW-iz6p"}, {"options": {"value": "7208784905", "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 diagnosed with HIV<br>Case management non -urgent referral:<br>- Follow up appointment scheduling with PCP: Needs to get evaluation regarding b/l forearm rashes; Would like to discuss Advanced care planning with his provider and family; patient does not know if he received  Pneumococcal vaccine & Herpes zoster vaccine; does not know if Hepa C screening was done; does not know viral load & C4 level; and he stated that he has 5 lbs non -intentional weight loss and may need monitoring.<br>- Dental exam was done about 5 years ago<br>- Does not know about emergency preparedness plan<br>", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"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": "Case management non -urgent referral:<br>- Needs follow up appointment scheduling with PCP: Needs to get evaluation regarding b/l forearm rashes; Would like to discuss Advanced care planning with his provider and family; patient does not know if he received  Pneumococcal vaccine & Herpes zoster vaccine; does not know if Hepa C screening was done; does not know viral load & C4 level; and he stated that he has 5 lbs non -intentional weight loss and may need monitoring.<br>- Needs a preventative dental exam <br>- Needs social support service about education on the Emergency preparedness plan ", "optionId": "unl6l"}, "questionId": "UNP-gbms"}, {"options": {"value": "7205909964", "optionId": "uni4v"}, "questionId": "UNS-lowx"}], "clientId": "client_015", "memberId": 2000265368, "referralId": "nuvu8", "submittedBy": "PTabbilos", "sentToQADate": "2025-07-29T21:31:26.118Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}