{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Deanna Donadio", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH010903200", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "1996-11-07", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-06-25T13:54"}, "questionId": "W-iz6p"}, {"options": {"value": "6034386261", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Other, Behavioral Health", "optionId": ["epq", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "dysphagia/aspiration pneumonia risk, fall risk, psych evaluation - for cognitive/developmental deficits associated with cerebral palsy, needs electric wheelchair, low SBP - asymptomatic, new PCP needed", "optionId": "C-MV65"}, "questionId": "C-MV65"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": "Referral:<br>- Member feels that she is not getting the best care at her current PCP office because it is a larger facility and they have a larger patient population.  She would like to find another provider that has a smaller office setting.  Also, someone who has experience with her cerebral palsy or how to care for patients with deficits. <br>- follow swallow screening - has been having issues since birth, speech therapy - Member reports that her swallowing difficulties have increased.  She reported this to her PCP and was referred to speech therapy - she was then ordered a barium swallow.  After this was performed the provider that performed the Barium Swallow informed her that she would need to have an endoscopy performed so that they can look down and check if there is possible esophageal stricture or scar tissue causing the dysphagia.  Contacted the PCP 2 weeks ago to see who needs to order the upper endoscopy to be performed.  Still no response or update from specialist or PCP.  Possible GI consult needed to evaluate dysphagia.  High risk of aspiration.  <br>- Member would like to know about how she can go about getting an electric wheelchair.  Due to her cerebral palsy it has weakened her muscles and she is not able to walk very far.  Also, member has increased fall risk.  Having an electric wheelchair when going out or having to ambulate far distances would decrease falls. <br>- mental health/ cognitive disability evaluation -  Member should get a psych evaluation to further evaluate her cognitive deficits and disabilities.  This could definitely assist member with getting overall assistance and accommodations with disabilities.  She has possible undiagnosed ADHD.  Mother noted that she was in special education classes when she was in school and received a certificate instead of a diploma for completing high school.  <br>- Member has low blood pressure of less than 100 SBP normally.  Her BP when taking was 92/65 and she is asymptomatic.  Due to virtual visit the member only has an electronic BP cuff and not a manual BP cuff to take her blood pressure so unable to get a repeat manual pressure.  ", "optionId": "l6l"}, "questionId": "P-gbms"}], "clientId": "client_013", "memberId": "NH010903200", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-06-25T18:02:59.816Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}