{"sno": "new", "year": "2025", "answer": [{"options": {"value": "MICHELLE BALBONI", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 60000784100, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1968-11-22", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-04-30T19:22"}, "questionId": "UNW-iz6p"}, {"options": {"value": "6035302283", "optionId": "nuphno"}, "questionId": "NU-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "unb4v"}, "questionId": "UNQ-lowx"}, {"options": {"value": "Focus Care", "optionId": "unp4v"}, "questionId": "UNX-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "unq4v"}, "questionId": "UNN-lowx"}, {"options": {"value": "Elevated PHQ9 or 19 with no medications, requesting Genesight test, food disparities", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "SDOH, Behavioral Health", "optionId": ["sdo", "bhd"]}, "questionId": "NU-w165"}, {"options": {"value": "8048745660", "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": "Member would like a Genesight test performed so that she can see what medications work and do not work.  She is very anxious about her medications especially since the ones in the past have caused her so many side effect.  Especially the medications that she used for her mental health.  <br>Member is currently seeing a mental health provider.  Discussed with member her PHQ9 is significantly elevated.  She conveyed that she was not a huge fan of taking medications.  Currently she is using marijuana edibles to help her sleep and with her medical issues.  Also, she has untreated ADHD.  She stated that when she was younger she was on Adderall and has been off of it for a while.  Advised member to speak with her mental health provider because her increased PHQ9 score could be a result of this being untreated.  Will send a referrals so that member can receive follow up.  Discussed with member that she needs possibly some medical intervention as well as increased counseling.  Member would like to have a Genesight study performed so that she can know what medications work best with her system.  The medications that she has used in the past have caused her unwanted side effects. She reported having tardive dyskinesia and 8 years ago she did an inpatient stay for 6 months.  During that time she was titrated off of her medications and the tardive dyskinesia went away.  <br>Member is currently experiencing food disparities.  She reports that she does not qualify for food stamps. <br>", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "clientId": "client_013", "memberId": 60000784100, "referralId": "nuvu8", "submittedBy": "chembrick", "sentToQADate": "2025-04-30T23:25:47.876Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}