CaregiverMedicalDetailsDetails - struct

Body

CaregiverMedicalDetailsDetails - struct GetCaregiverMedicalDetailsResponse CaregiverMedicalDetailsDetails - struct GetCaregiverMedicalDetailsResult CaregiverMedicalDetailsDetails - struct CaregiverMedicalDetails CaregiverMedicalDetailsDetails - array 1 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71668362 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-17 08:49:16 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 2 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71668405 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-17 08:54:06 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 3 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71672927 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-17 11:06:40 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 4 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71689821 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-18 05:05:02 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 5 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71696334 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-18 10:54:02 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 6 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71696355 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-18 10:54:17 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 7 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71716381 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-19 05:24:02 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 8 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71741592 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-20 02:07:51 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 9 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71742073 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-20 08:53:32 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 10 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71744500 DatePerformed 2025-10-01 DocumentName [empty string] DueDate 2025-10-21 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-20 10:05:42 AM Notes This is for testt. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 11 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71768390 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-21 05:17:28 AM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 12 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790397 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-22 01:08:14 PM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 13 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790399 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-22 01:08:20 PM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 14 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790406 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-22 01:10:20 PM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 15 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790408 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-22 01:10:26 PM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 16 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790448 DatePerformed 2026-03-15 DocumentName [empty string] DueDate 2026-05-30 MedicalID 67057 MedicalName Annual Health Assessment ModifiedDate 2026-08-22 01:36:57 PM Notes Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months. OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 17 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 69040767 DatePerformed [empty string] DocumentName [empty string] DueDate 2027-03-31 MedicalID 112656 MedicalName AHA/TBQ/TBRA ModifiedDate 2026-04-01 11:32:35 AM Notes Pending HA Form Created From Compliance Portal OfficeID 11876 Required Yes Result [empty string] Status Pending StreamData [empty string] 18 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 65399389 DatePerformed 2025-10-14 DocumentName [empty string] DueDate 2025-09-02 MedicalID 112656 MedicalName AHA/TBQ/TBRA ModifiedDate 2025-10-14 04:51:48 AM Notes Updated HA From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 19 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 65680475 DatePerformed 2025-10-14 DocumentName [empty string] DueDate 2026-09-14 MedicalID 112656 MedicalName AHA/TBQ/TBRA ModifiedDate 2025-10-16 11:02:42 AM Notes Updated HA From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 20 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 68374256 DatePerformed 2026-03-31 DocumentName [empty string] DueDate 2026-05-01 MedicalID 112656 MedicalName AHA/TBQ/TBRA ModifiedDate 2026-04-01 11:32:34 AM Notes Updated HA From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 21 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 65528873 DatePerformed [empty string] DocumentName [empty string] DueDate 2026-05-30 MedicalID 101983 MedicalName Seasonal Influenza Vaccination ModifiedDate 2026-05-07 02:29:44 AM Notes [empty string] OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 22 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 65528707 DatePerformed 2025-10-06 DocumentName [empty string] DueDate 2025-10-06 MedicalID 101983 MedicalName Seasonal Influenza Vaccination ModifiedDate 2025-10-06 12:32:07 PM Notes Updated Flu From Compliance Portal OfficeID 11876 Required Yes Result Declined Status Completed StreamData [empty string] 23 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 46254010 DatePerformed [empty string] DocumentName [empty string] DueDate 2023-03-10 MedicalID 101985 MedicalName OBRA ModifiedDate 2023-03-10 11:37:11 AM Notes Preferred by System API OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 24 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 67920574 DatePerformed [empty string] DocumentName [empty string] DueDate 2027-02-04 MedicalID 101986 MedicalName Annual Paraprofessional Evaluation ModifiedDate 2026-02-04 07:39:47 AM Notes Pending Created for Clinical E-Doc OfficeID 11876 Required Yes Result [empty string] Status Pending StreamData [empty string] 25 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 67473089 DatePerformed 2026-02-04 DocumentName [empty string] DueDate 2025-10-01 MedicalID 101986 MedicalName Annual Paraprofessional Evaluation ModifiedDate 2026-02-04 07:39:47 AM Notes Updated Para professional for Clinical E-Doc OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 26 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 66498326 DatePerformed 2025-11-27 DocumentName [empty string] DueDate 2025-11-20 MedicalID 102002 MedicalName Annual Admin ModifiedDate 2025-11-28 08:05:28 AM Notes Updated Annual Eval From Eval - Job OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 27 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 66676123 DatePerformed [empty string] DocumentName [empty string] DueDate 2026-03-02 MedicalID 102002 MedicalName Annual Admin ModifiedDate 2026-02-27 11:11:02 AM Notes Pending Annual Created From Eval - Job OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 28 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 58309997 DatePerformed 2024-11-06 DocumentName [empty string] DueDate 2024-11-06 MedicalID 124192 MedicalName EVV ModifiedDate 2024-11-06 02:34:39 AM Notes Created from Eval OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 29 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 64685939 DatePerformed 2025-08-22 DocumentName [empty string] DueDate 2025-08-22 MedicalID 124192 MedicalName EVV ModifiedDate 2025-08-22 07:43:23 AM Notes Completed EVV Form Created From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 30 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 64685940 DatePerformed 2025-08-22 DocumentName [empty string] DueDate 2025-08-22 MedicalID 124192 MedicalName EVV ModifiedDate 2025-08-22 07:46:53 AM Notes Completed EVV Form Created From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 31 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 58309994 DatePerformed [empty string] DocumentName [empty string] DueDate 2024-11-30 MedicalID 124192 MedicalName EVV ModifiedDate 2024-11-06 02:30:33 AM Notes [empty string] OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 32 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 57819199 DatePerformed [empty string] DocumentName [empty string] DueDate 2024-09-01 MedicalID 124192 MedicalName EVV ModifiedDate 2024-12-11 02:15:20 AM Notes Pending Created From Eval OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 33 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 58312233 DatePerformed [empty string] DocumentName [empty string] DueDate 2024-12-03 MedicalID 124192 MedicalName EVV ModifiedDate 2024-11-06 09:45:07 AM Notes Pending Created from Compliance Portal OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 34 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71671246 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-17 10:20:08 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 35 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71672928 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-17 11:06:41 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 36 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71696362 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-18 10:54:24 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 37 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71716382 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-19 05:24:03 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 38 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71741591 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-20 02:07:47 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 39 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71741594 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-20 02:13:36 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 40 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71742076 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-20 08:53:41 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 41 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71768391 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-21 05:17:30 AM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 42 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790398 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-22 01:08:15 PM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 43 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71790407 DatePerformed 2026-05-12 DocumentName [empty string] DueDate 2026-06-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-08-22 01:10:22 PM Notes All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted. OfficeID 11876 Required Yes Result Not Completed Status Completed StreamData [empty string] 44 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 69630690 DatePerformed 2026-05-01 DocumentName [empty string] DueDate 2026-05-01 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-05-01 11:26:20 AM Notes 3 Month Probation Create from Compliance System OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 45 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 69924930 DatePerformed 2026-05-17 DocumentName [empty string] DueDate 2026-06-06 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-05-17 10:53:16 AM Notes Updated Probation From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 46 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 69924948 DatePerformed 2026-06-10 DocumentName [empty string] DueDate 2026-06-17 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-06-10 04:17:39 AM Notes Updated Probation From Compliance Portal OfficeID 11876 Required Yes Result Completed Status Completed StreamData [empty string] 47 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 70441786 DatePerformed [empty string] DocumentName [empty string] DueDate 2026-06-10 MedicalID 67071 MedicalName 3 Month ModifiedDate 2026-06-10 05:21:13 AM Notes Pending Probation Created From Compliance Portal OfficeID 11876 Required Yes Result [empty string] Status Overdue StreamData [empty string] 48 CaregiverMedicalDetailsDetails - struct CaregiverID 2287309 CaregiverMedicalID 71689820 DatePerformed [empty string] DocumentName [empty string] DueDate 2026-06-01 MedicalID 67076 MedicalName Supervisory Visit ModifiedDate 2026-08-22 01:10:24 PM Notes for test purpose only OfficeID 11876 Required No Result [empty string] Status Overdue StreamData [empty string] Result CaregiverMedicalDetailsDetails - struct Details [empty string] ErrorInfo CaregiverMedicalDetailsDetails - struct ErrorID 0 ErrorMessage [empty string]

Office ID	Caregiver ID	Caregiver Medical ID	Medical ID	Medical Name	Required	Status	Result	Notes	Document Name	Due Date	Date Performed	Modified Date
11876	2287309	71668362	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-17 08:49:16 AM
11876	2287309	71668405	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-17 08:54:06 AM
11876	2287309	71672927	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-17 11:06:40 AM
11876	2287309	71689821	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-18 05:05:02 AM
11876	2287309	71696334	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-18 10:54:02 AM
11876	2287309	71696355	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-18 10:54:17 AM
11876	2287309	71716381	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-19 05:24:02 AM
11876	2287309	71741592	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-20 02:07:51 AM
11876	2287309	71742073	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-20 08:53:32 AM
11876	2287309	71744500	67057	Annual Health Assessment	Yes	Completed	Completed	This is for testt.		2025-10-21	2025-10-01	2026-08-20 10:05:42 AM
11876	2287309	71768390	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-21 05:17:28 AM
11876	2287309	71790397	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-22 01:08:14 PM
11876	2287309	71790399	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-22 01:08:20 PM
11876	2287309	71790406	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-22 01:10:20 PM
11876	2287309	71790408	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-22 01:10:26 PM
11876	2287309	71790448	67057	Annual Health Assessment	Yes	Completed	Completed	Patient completed the annual physical examination with no major health concerns reported. Follow-up recommended in 12 months.		2026-05-30	2026-03-15	2026-08-22 01:36:57 PM
11876	2287309	69040767	112656	AHA/TBQ/TBRA	Yes	Pending		Pending HA Form Created From Compliance Portal		2027-03-31		2026-04-01 11:32:35 AM
11876	2287309	65399389	112656	AHA/TBQ/TBRA	Yes	Completed	Completed	Updated HA From Compliance Portal		2025-09-02	2025-10-14	2025-10-14 04:51:48 AM
11876	2287309	65680475	112656	AHA/TBQ/TBRA	Yes	Completed	Completed	Updated HA From Compliance Portal		2026-09-14	2025-10-14	2025-10-16 11:02:42 AM
11876	2287309	68374256	112656	AHA/TBQ/TBRA	Yes	Completed	Completed	Updated HA From Compliance Portal		2026-05-01	2026-03-31	2026-04-01 11:32:34 AM
11876	2287309	65528873	101983	Seasonal Influenza Vaccination	Yes	Overdue				2026-05-30		2026-05-07 02:29:44 AM
11876	2287309	65528707	101983	Seasonal Influenza Vaccination	Yes	Completed	Declined	Updated Flu From Compliance Portal		2025-10-06	2025-10-06	2025-10-06 12:32:07 PM
11876	2287309	46254010	101985	OBRA	Yes	Overdue		Preferred by System API		2023-03-10		2023-03-10 11:37:11 AM
11876	2287309	67920574	101986	Annual Paraprofessional Evaluation	Yes	Pending		Pending Created for Clinical E-Doc		2027-02-04		2026-02-04 07:39:47 AM
11876	2287309	67473089	101986	Annual Paraprofessional Evaluation	Yes	Completed	Completed	Updated Para professional for Clinical E-Doc		2025-10-01	2026-02-04	2026-02-04 07:39:47 AM
11876	2287309	66498326	102002	Annual Admin	Yes	Completed	Completed	Updated Annual Eval From Eval - Job		2025-11-20	2025-11-27	2025-11-28 08:05:28 AM
11876	2287309	66676123	102002	Annual Admin	Yes	Overdue		Pending Annual Created From Eval - Job		2026-03-02		2026-02-27 11:11:02 AM
11876	2287309	58309997	124192	EVV	Yes	Completed	Completed	Created from Eval		2024-11-06	2024-11-06	2024-11-06 02:34:39 AM
11876	2287309	64685939	124192	EVV	Yes	Completed	Completed	Completed EVV Form Created From Compliance Portal		2025-08-22	2025-08-22	2025-08-22 07:43:23 AM
11876	2287309	64685940	124192	EVV	Yes	Completed	Completed	Completed EVV Form Created From Compliance Portal		2025-08-22	2025-08-22	2025-08-22 07:46:53 AM
11876	2287309	58309994	124192	EVV	Yes	Overdue				2024-11-30		2024-11-06 02:30:33 AM
11876	2287309	57819199	124192	EVV	Yes	Overdue		Pending Created From Eval		2024-09-01		2024-12-11 02:15:20 AM
11876	2287309	58312233	124192	EVV	Yes	Overdue		Pending Created from Compliance Portal		2024-12-03		2024-11-06 09:45:07 AM
11876	2287309	71671246	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-17 10:20:08 AM
11876	2287309	71672928	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-17 11:06:41 AM
11876	2287309	71696362	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-18 10:54:24 AM
11876	2287309	71716382	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-19 05:24:03 AM
11876	2287309	71741591	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-20 02:07:47 AM
11876	2287309	71741594	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-20 02:13:36 AM
11876	2287309	71742076	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-20 08:53:41 AM
11876	2287309	71768391	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-21 05:17:30 AM
11876	2287309	71790398	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-22 01:08:15 PM
11876	2287309	71790407	67071	3 Month	Yes	Completed	Not Completed	All compliance requirements have been successfully verified and met for this reporting period. No exceptions noted.		2026-06-01	2026-05-12	2026-08-22 01:10:22 PM
11876	2287309	69630690	67071	3 Month	Yes	Completed	Completed	3 Month Probation Create from Compliance System		2026-05-01	2026-05-01	2026-05-01 11:26:20 AM
11876	2287309	69924930	67071	3 Month	Yes	Completed	Completed	Updated Probation From Compliance Portal		2026-06-06	2026-05-17	2026-05-17 10:53:16 AM
11876	2287309	69924948	67071	3 Month	Yes	Completed	Completed	Updated Probation From Compliance Portal		2026-06-17	2026-06-10	2026-06-10 04:17:39 AM
11876	2287309	70441786	67071	3 Month	Yes	Overdue		Pending Probation Created From Compliance Portal		2026-06-10		2026-06-10 05:21:13 AM
11876	2287309	71689820	67076	Supervisory Visit	No	Overdue		for test purpose only		2026-06-01		2026-08-22 01:10:24 PM