{"sno": "new", "year": "2025", "answer": [{"options": {"value": "CHRISTOPHER SHAW", "optionId": "un4v"}, "questionId": "UNK-lowx"}, {"options": {"value": 2000279893, "optionId": "unvvv"}, "questionId": "UNB-lowx"}, {"options": {"value": "1963-04-09", "optionId": "UNtdb"}, "questionId": "UNM-iz6p"}, {"options": {"value": "2025-09-09T15:22"}, "questionId": "UNW-iz6p"}, {"options": {"value": "7204924543", "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": "Patient is a 62 y/o pleasant male with DM type 2, HFrEF, with past medical h/o MI  (05/25/23), s/p cardiac stents placement. Patient reported that he has symptoms of urinary frequency and his PCP is not aware. He stated that he could still make it to restroom on time. Also, patient reported multiple skin lesions which bleeds when scratched over R arm, only had it during hot weather. His PCP is not aware and this writer (TW) recommend to call his PCP to schedule an appointment for appropriate treatment. Patient verbalized understanding and agreed. <br>Patient is following regular exercise by biking, but does not follow diabetic diet (i.e.,  HgbA1C is 7.5), he reports challenges with eating due to his dental issues and would like to be seen by dentist. His BMI is 33. Using Ozempic on a weekly basis with unintentional weight loss >15 lbs within the past 6 months.<br><br>Non - urgent case management referral:<br>- Needs PCP for: discussion about Advanced Care Planning, eGFR with albumin-creatinine ratio, and substance use (i.e., takes Marijuana once weekly- has STEMI s/p 8 cardiac stent placement per patient report), Patient reported multiple skin lesions which bleeds when scratched over R arm, only had it during hot weather, TW recommend to call his PCP, patient verbalized understanding and agreed. Needs referral with dietician (i.e., needs evaluation by dietician - DM type 2, HgbA1C is 7.5, has challenges with eating d/t dental issues).<br>Also, patient reported that he has symptoms of urinary frequency (urinates about 7-8x/day) and his PCP is not aware. He stated that he could still make it to restroom on time.<br>- Needs social support - Patient has not done any hearing evaluation and is interested to get one; needs help with scheduling for dental appointment (i. e., getting dentures), was last seen by dentist in 2015; He is asking if could avail of free sphygmomanometer so he could monitor his BP regularly.", "optionId": "UNC-MV65"}, "questionId": "UNC-MV65"}, {"options": {"value": "Diabetes, HTN, Other", "optionId": ["nul5", "nuz0", "nuepq"]}, "questionId": "NU-w165"}, {"options": {"value": "7205909964", "optionId": "uni4v"}, "questionId": "UNS-lowx"}, {"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": "Non - urgent case management referral:<br>- Needs PCP for: discussion about Advanced Care Planning, eGFR with albumin-creatinine ratio, and substance use (i.e., takes Marijuana once weekly- has STEMI s/p 8 cardiac stent placement per patient report), Patient reported multiple skin lesions which bleeds when scratched over R arm, only had it during hot weather, TW recommend to call his PCP, patient verbalized understanding and agreed. Needs referral with dietician (i.e., needs evaluation by dietician - DM type 2, HgbA1C is 7.5, has challenges with eating d/t dental issues).<br>Also, patient reported that he has symptoms of urinary frequency (urinates about 7-8x/day) and his PCP is not aware. He stated that he could still make it to restroom on time.<br>- Needs social support - Patient has not done any hearing evaluation and is interested to get one; needs help with scheduling for dental appointment (i. e., getting dentures), was last seen by dentist in 2015; He is asking if could avail of free sphygmomanometer so he could monitor his BP regularly.", "optionId": "unl6l"}, "questionId": "UNP-gbms"}], "update": false, "clientId": "client_015", "memberId": 2000279893, "referralId": "nuvu8", "submittedBy": "PTabbilos", "sentToQADate": "2025-09-09T21:28:33.167Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}