{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "TERRI L MELLEN", "optionId": "tuv"}, "questionId": "E-lowx"}, {"options": {"value": "2012-06-18", "optionId": "udb"}, "questionId": "T-iz6p"}, {"options": {"value": 10000101421, "optionId": "c4v"}, "questionId": "A-lowx"}, {"options": {"value": "2025-04-28T14:41"}, "questionId": "Q-iz6p"}, {"options": {"value": "2025-04-28"}, "questionId": "D-iz2p"}, {"options": {"value": "2025-4-28T14:41"}, "questionId": "D-zz6p"}, {"options": {"value": "Harm to self or others, Medication error requiring medical intervention, Death of recipient, Law enforcement response, Accident/incident with medical intervention, Hospice, Other", "optionId": ["av5", "bl5", "cz0", "jox", "nwz", "cihosp", "yp0"]}, "questionId": "W-w165"}, {"options": {"value": "6035228001", "optionId": "ciuphno"}, "questionId": "CI-Phno"}, {"options": {"value": "Focus Care", "optionId": "d4v"}, "questionId": "Z-lowx"}, {"options": {"value": "test adminFE", "optionId": "mqv"}, "questionId": "P-lowx"}, {"options": {"value": "6. If Referral form in Comment/text add data like point wise and submit Referral form submit pop up message coming and Referral form coming to mail but referral details not reflecting in referral tab and member history (Data added like below:<br>If Referral<br>1. runny <br>2. nose<br>3. congestion<br>4. cough<br>5. SOB<br><br>• runny <br>• nose<br>• congestion<br>• cough<br>• SOB<br>1) runny <br>2) nose<br>3) congestion<br>4) cough<br>5) SOB<br>I. runny <br>II. nose<br>III. congestion<br>IV. cough<br>V. SOB<br>A. runny <br>B. nose<br>C. congestion<br>D. cough<br>E. SOB<br>a) runny <br>b) nose<br>c) congestion<br>d) cough<br>e) SOB<br>a. runny <br>b. nose<br>c. congestion<br>d. cough<br>e. SOB<br>i. runny <br>ii. nose<br>iii. congestion<br>iv. cough<br>v. SOB", "optionId": "C-MVt5"}, "questionId": "C-MVt5"}, {"options": {"value": "Provider agency contact", "optionId": "w1v"}, "questionId": "I-lfwx"}, {"options": {"value": "33333333333", "optionId": "w0v"}, "questionId": "I-lmwx"}, {"options": {"value": "terri@focuscares.com", "optionId": "m3l"}, "questionId": "I-gbps"}, {"options": {"value": "6. If Referral form in Comment/text add data like point wise and submit Referral form submit pop up message coming and Referral form coming to mail but referral details not reflecting in referral tab and member history (Data added like below:<br>If Referral<br>1. runny <br>2. nose<br>3. congestion<br>4. cough<br>5. SOB<br><br>• runny <br>• nose<br>• congestion<br>• cough<br>• SOB<br>1) runny <br>2) nose<br>3) congestion<br>4) cough<br>5) SOB<br>I. runny <br>II. nose<br>III. congestion<br>IV. cough<br>V. SOB<br>A. runny <br>B. nose<br>C. congestion<br>D. cough<br>E. SOB<br>a) runny <br>b) nose<br>c) congestion<br>d) cough<br>e) SOB<br>a. runny <br>b. nose<br>c. congestion<br>d. cough<br>e. SOB<br>i. runny <br>ii. nose<br>iii. congestion<br>iv. cough<br>v. SOB", "optionId": "mml"}, "questionId": "I-gmms"}, {"options": {"value": "Names", "optionId": "m1l"}, "questionId": "I-gbmt"}, {"options": {"value": "Names of other agencies involved in the incident", "optionId": "m69"}, "questionId": "I-gbmw"}, {"options": {"value": "Describe the incident including circumstances ", "optionId": "m29"}, "questionId": "I-abms"}, {"options": {"value": "6. If Referral form in Comment/text add data like point wise and submit Referral form submit pop up message coming and Referral form coming to mail but referral details not reflecting in referral tab and member history (Data added like below:<br>If Referral<br>1. runny <br>2. nose<br>3. congestion<br>4. cough<br>5. SOB<br><br>• runny <br>• nose<br>• congestion<br>• cough<br>• SOB<br>1) runny <br>2) nose<br>3) congestion<br>4) cough<br>5) SOB<br>I. runny <br>II. nose<br>III. congestion<br>IV. cough<br>V. SOB<br>A. runny <br>B. nose<br>C. congestion<br>D. cough<br>E. SOB<br>a) runny <br>b) nose<br>c) congestion<br>d) cough<br>e) SOB<br>a. runny <br>b. nose<br>c. congestion<br>d. cough<br>e. SOB<br>i. runny <br>ii. nose<br>iii. congestion<br>iv. cough<br>v. SOB", "optionId": "m6q"}, "questionId": "I-gbqs"}, {"options": {"value": "6. If Referral form in Comment/text add data like point wise and submit Referral form submit pop up message coming and Referral form coming to mail but referral details not reflecting in referral tab and member history (Data added like below:<br>If Referral<br>1. runny <br>2. nose<br>3. congestion<br>4. cough<br>5. SOB<br><br>• runny <br>• nose<br>• congestion<br>• cough<br>• SOB<br>1) runny <br>2) nose<br>3) congestion<br>4) cough<br>5) SOB<br>I. runny <br>II. nose<br>III. congestion<br>IV. cough<br>V. SOB<br>A. runny <br>B. nose<br>C. congestion<br>D. cough<br>E. SOB<br>a) runny <br>b) nose<br>c) congestion<br>d) cough<br>e) SOB<br>a. runny <br>b. nose<br>c. congestion<br>d. cough<br>e. SOB<br>i. runny <br>ii. nose<br>iii. congestion<br>iv. cough<br>v. SOB", "optionId": "m62"}, "questionId": "I-gbts"}, {"options": {"value": "Police/law enforcement, EMS, Fire Department, Guardian/Legal Representative, Other", "optionId": ["yv5", "ql5", "az0", "dox", "ep0"]}, "questionId": "C-w165"}, {"options": {"value": "6. If Referral form in Comment/text add data like point wise and submit Referral form submit pop up message coming and Referral form coming to mail but referral details not reflecting in referral tab and member history (Data added like below:<br>If Referral<br>1. runny <br>2. nose<br>3. congestion<br>4. cough<br>5. SOB<br><br>• runny <br>• nose<br>• congestion<br>• cough<br>• SOB<br>1) runny <br>2) nose<br>3) congestion<br>4) cough<br>5) SOB<br>I. runny <br>II. nose<br>III. congestion<br>IV. cough<br>V. SOB<br>A. runny <br>B. nose<br>C. congestion<br>D. cough<br>E. SOB<br>a) runny <br>b) nose<br>c) congestion<br>d) cough<br>e) SOB<br>a. runny <br>b. nose<br>c. congestion<br>d. cough<br>e. SOB<br>i. runny <br>ii. nose<br>iii. congestion<br>iv. cough<br>v. SOB", "optionId": "C-wV65"}, "questionId": "C-wV65"}], "clientId": "client_003", "memberId": 10000101421, "referralId": "ldp", "submittedBy": "admin", "sentToQADate": "2025-04-28T09:14:03.319Z", "submittedUserType": "admin", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "04-28-2025 05:14:03"}