Patient Information

{{ patient.data.identity.fullName }}
SSN: {{ patient.data.identity.ssn }}
DOB: {{ patient.data.identity.dob | date: 'MM/dd/yyyy' }} ({{ calculateAge() }})
Gender: {{ patient.data.identity.gender }}
Last Clinic: {{ patient.data?.encounterSummary?.outpatient ? patient.data.encounterSummary.outpatient.data?.patientLocation : '' }} Ward/Room-Bed: {{ patient.data?.encounterSummary?.inpatient?.data?.wardLocation ? patient.data.encounterSummary.inpatient.data.wardLocation + (patient.data?.encounterSummary?.inpatient?.data?.roomAndBed ? ' (' + patient.data.encounterSummary.inpatient.data.roomAndBed + ')' : '') : '' }}
Last Discharged: {{ patient.data?.encounterSummary?.inpatient?.data?.encounterEndDateTime | date: 'MM/dd/yyyy HH:mm' }} Dx: {{ patient.data?.encounterSummary?.inpatient?.data?.provisionalDiagnosis }}
Rx Patient Status: {{ patient.data.details?.data?.eligibility?.rxPatientStatus }} Admitted: {{ patient.data?.encounterSummary?.inpatient?.data?.clinicallyIndicatedDate | date: 'MM/dd/yyyy HH:mm' }}
Date of Death: {{ patient.data.identity.dateOfDeath | date: 'MM/dd/yyyy HH:mm' }} Last Transferred: {{ patient.data?.encounterSummary?.inpatient?.data?.requestDate | date: 'MM/dd/yyyy HH:mm' }}
{{ patient.data.details?.data?.site?.siteName }} | {{ patient.data.details?.data?.patientCareTeams[0]?.name }} |  PCP: {{ patient.data.details?.data?.patientCareTeams[0]?.primaryCareProvider?.name }}
Mental Health Treatment Coordinator: {{ patient.data.details?.data?.patientCareTeams[0]?.mentalHealthTeamCoordinator?.name }} | {{ patient.data.details?.data?.patientCareTeams[0]?.mentalHealthTeamName }}
No PACT assigned at any VA Location

Eligibility: {{ patient.data.details?.data?.eligibility?.code }} SC%: {{ patient.data.details?.data?.eligibility?.serviceConnectedPercentage }}
Inpatient Attending: {{ patient.data?.encounterSummary?.inpatient?.data?.personResponsibleForActivity?.name }}
Disabilities: , {{ disability.ratedDisability }} {{ (disability.disabilityPercentage) ? ' - ' + disability.disabilityPercentage + '%' : '' }} {{ (disability.isServiceConnected) ? ' (SC)' : ' (NSC)' }}
Inpatient Provider: {{ patient.data?.encounterSummary?.inpatient?.data?.requestingProvider?.name }}
Press Enter to Collapse Demographics or Alt + x to close at any time Less Press Enter to Expand Demographics or Alt + x at any time More
CrCL: {{ calculateCrCl() }} ( CREAT: {{ (patient.data?.labSummary?.creatinine?.data?.metric?.value) ? patient.data.labSummary.creatinine.data.metric.value + ((patient.data?.labSummary?.creatinine?.data?.metric?.unit) ? ' ' + patient.data.labSummary.creatinine.data.metric.unit : ' mg/dL') + ((patient.data?.labSummary?.creatinine?.data?.timeTaken) ? ' ' + (patient.data.labSummary.creatinine.data.timeTaken | date: 'MM/dd/yyyy') + ')' : ')') : '<Not Found>)' }} BSA (m2): {{ calculateBsa() }} Ht (cm): {{ (patient.data?.vitalSummary?.height?.data?.metric?.value) ? patient.data.vitalSummary.height.data.metric.value + ((patient.data?.vitalSummary?.height?.data?.timeTaken) ? ' (' + (patient.data.vitalSummary.height.data.timeTaken | date: 'MM/dd/yyyy') + ')' : '') : '<Not Found>' }} Wt (kg): {{ (patient.data?.vitalSummary?.weight?.data?.metric?.value) ? patient.data.vitalSummary.weight.data.metric.value + ((patient.data?.vitalSummary?.weight?.data?.timeTaken) ? ' (' + (patient.data.vitalSummary.weight.data.timeTaken | date: 'MM/dd/yyyy') + ')' : '') : '<Not Found>' }} BMI (kg/m2): {{ calculateBmi() }}

Full Patient Demographics Tab Navigation

Contact Info

Permanent Mailing Address:

{{ patient.data.details?.data?.permanentAddress?.address?.street }}
{{ patient.data.details?.data?.permanentAddress?.address?.streetLine2 }}
{{ patient.data.details?.data?.permanentAddress?.address?.streetLine3 }}
{{ patient.data.details?.data?.permanentAddress?.address?.city }}, {{ patient.data.details?.data?.permanentAddress?.address?.state }} {{ patient.data.details?.data?.permanentAddress?.address?.zip }}
{{ patient.data.details?.data?.permanentAddress?.address?.country }}
County: {{ patient.data.details?.data?.permanentAddress?.address?.county }}
Phone: {{ patient.data.details?.data?.contactDetails?.home ? patient.data.details?.data?.contactDetails?.home : 'None' }}
Office: {{ patient.data.details?.data?.contactDetails?.phone ? patient.data.details?.data?.contactDetails?.phone : 'None' }}
Cell: {{ patient.data.details?.data?.contactDetails?.mobile ? patient.data.details?.data?.contactDetails?.mobile : 'None' }}
E-mail: {{ patient.data.details?.data?.contactDetails?.email ? patient.data.details?.data?.contactDetails?.email : 'None' }}
Bad Addr: {{ patient.data.details?.data?.permanentAddress?.badAddressIndicator ? patient.data.details?.data?.permanentAddress?.badAddressIndicator : 'None' }}

Temporary Mailing Address:

No Record Found {{ patient.data.details?.data?.temporaryAddress?.address?.street }}
{{ patient.data.details?.data?.temporaryAddress?.address?.streetLine2 }}
{{ patient.data.details?.data?.temporaryAddress?.address?.streetLine3 }}
{{ patient.data.details?.data?.temporaryAddress?.address?.city }}, {{ patient.data.details?.data?.temporaryAddress?.address?.state }} {{ patient.data.details?.data?.temporaryAddress?.address?.zip }}
{{ patient.data.details?.data?.temporaryAddress?.address?.country }}
County: {{ patient.data.details?.data?.temporaryAddress?.address?.county }}
From/To: {{ patient.data.details?.data?.temporaryAddress?.fromDate | date: 'MM/dd/yyyy' }} - {{ patient.data.details?.data?.temporaryAddress?.toDate | date: 'MM/dd/yyyy' }}
Phone: {{ patient.data.details?.data?.contactDetails?.temporary ? patient.data.details?.data?.contactDetails?.temporary : 'None' }}

Confidential Address:

No Record Found {{ patient.data.details?.data?.confidentialAddress?.address?.street }}
{{ patient.data.details?.data?.confidentialAddress?.address?.streetLine2 }}
{{ patient.data.details?.data?.confidentialAddress?.address?.streetLine3 }}
{{ patient.data.details?.data?.confidentialAddress?.address?.city }}, {{ patient.data.details?.data?.confidentialAddress?.address?.state }} {{ patient.data.details?.data?.confidentialAddress?.address?.zip }}
{{ patient.data.details?.data?.confidentialAddress?.address?.country }}
County: {{ patient.data.details?.data?.confidentialAddress?.address?.county }}
From/To: {{ patient.data.details?.data?.confidentialAddress?.fromDate | date: 'MM/dd/yyyy' }} - {{ patient.data.details?.data?.confidentialAddress?.toDate | date: 'MM/dd/yyyy' }}

Confidential Address Categories:

{{ category }}{{ (category == patient.data.details?.data?.confidentialAddress?.activeConfidentialCategory) ? ' (Active)' : '' }}

Emergency Response:

{{ patient.data.details?.data?.emergencyResponse }}

Emergency Contact Information:

No Record Found Name: {{ patient.data.details?.data?.emergencyContactPrimary?.name }}
Relationship: {{ patient.data.details?.data?.emergencyContactPrimary?.relationship ? patient.data.details?.data?.emergencyContactPrimary?.relationship : 'None' }}
{{ patient.data.details?.data?.emergencyContactPrimary?.address?.street }}
{{ patient.data.details?.data?.emergencyContactPrimary?.address?.streetLine2 }}
{{ patient.data.details?.data?.emergencyContactPrimary?.address?.streetLine3 }}
{{ patient.data.details?.data?.emergencyContactPrimary?.address?.city }}, {{ patient.data.details?.data?.emergencyContactPrimary?.address?.state }} {{ patient.data.details?.data?.emergencyContactPrimary?.address?.zip }}
Phone: {{ patient.data.details?.data?.emergencyContactPrimary?.contactDetails?.home ? patient.data.details?.data?.emergencyContactPrimary?.contactDetails?.home : 'None'}}
Work Phone: {{ patient.data.details?.data?.emergencyContactPrimary?.contactDetails?.phone ? patient.data.details?.data?.emergencyContactPrimary?.contactDetails?.phone : 'None' }}

Name: {{ patient.data.details?.data?.emergencyContactSecondary?.name }}
Relationship: {{ patient.data.details?.data?.emergencyContactSecondary?.relationship ? patient.data.details?.data?.emergencyContactSecondary?.relationship : 'None' }}
{{ patient.data.details?.data?.emergencyContactSecondary?.address?.street }}
{{ patient.data.details?.data?.emergencyContactSecondary?.address?.streetLine2 }}
{{ patient.data.details?.data?.emergencyContactSecondary?.address?.streetLine3 }}
{{ patient.data.details?.data?.emergencyContactSecondary?.address?.city }}, {{ patient.data.details?.data?.emergencyContactSecondary?.address?.state }} {{ patient.data.details?.data?.emergencyContactSecondary?.address?.zip }}
Phone: {{ patient.data.details?.data?.emergencyContactSecondary?.contactDetails?.home ? patient.data.details?.data?.emergencyContactSecondary?.contactDetails?.home : 'None' }}
Work Phone: {{ patient.data.details?.data?.emergencyContactSecondary?.contactDetails?.phone ? patient.data.details?.data?.emergencyContactSecondary?.contactDetails?.phone : 'None' }}

Next of Kin Information:

No Record Found Name: {{ patient.data.details?.data?.nextOfKinPrimary?.name }} {{ patient.data.details?.data?.nextOfKinPrimary?.relationship ? ' (' + patient.data.details?.data?.nextOfKinPrimary?.relationship + ')' : '' }}
{{ patient.data.details?.data?.nextOfKinPrimary?.address?.street }}
{{ patient.data.details?.data?.nextOfKinPrimary?.address?.streetLine2 }}
{{ patient.data.details?.data?.nextOfKinPrimary?.address?.streetLine3 }}
{{ patient.data.details?.data?.nextOfKinPrimary?.address?.city }}, {{ patient.data.details?.data?.nextOfKinPrimary?.address?.state }} {{ patient.data.details?.data?.nextOfKinPrimary?.address?.zip }}
Phone: {{ patient.data.details?.data?.nextOfKinPrimary?.contactDetails?.home ? patient.data.details?.data?.nextOfKinPrimary?.contactDetails?.home : 'None' }}
Work Phone: {{ patient.data.details?.data?.nextOfKinPrimary?.contactDetails?.phone ? patient.data.details?.data?.nextOfKinPrimary?.contactDetails?.phone : 'None' }}

Secondary Next of Kin Information:

Name: {{ patient.data.details?.data?.nextOfKinSecondary?.name }} {{ patient.data.details?.data?.nextOfKinSecondary?.relationship ? ' (' + patient.data.details?.data?.nextOfKinSecondary?.relationship + ')' : '' }}
{{ patient.data.details?.data?.nextOfKinSecondary?.address?.street }}
{{ patient.data.details?.data?.nextOfKinSecondary?.address?.streetLine2 }}
{{ patient.data.details?.data?.nextOfKinSecondary?.address?.streetLine3 }}
{{ patient.data.details?.data?.nextOfKinSecondary?.address?.city }}, {{ patient.data.details?.data?.nextOfKinSecondary?.address?.state }} {{ patient.data.details?.data?.nextOfKinSecondary?.address?.zip }}
Phone: {{ patient.data.details?.data?.nextOfKinSecondary?.contactDetails?.home ? patient.data.details?.data?.nextOfKinSecondary?.contactDetails?.home : 'None' }}
Work Phone: {{ patient.data.details?.data?.nextOfKinSecondary?.contactDetails?.phone ? patient.data.details?.data?.nextOfKinSecondary?.contactDetails?.phone : 'None' }}
Language Date/Time: {{ lang.languageDate | date: 'MM/dd/yyyy HH:mm' }}
Preferred Language: {{ lang.languagePref }}
Military Service

Military Service Information:

Service Branch / Component Service # Entered Separated Discharge
Service Branch / Component{{ service.branch + '/' + service.component }} Service #{{ service.number }} Entered{{ service.entryDate | date: 'MM/dd/yyyy' }} Separated{{ service.separationDate | date: 'MM/dd/yyyy' }} Discharge{{ service.dischargeType }}
No Record Found

Conflict Locations:
{{ loc.location }} {{ loc.fromDate ? ' (' + (loc.fromDate | date: 'MM/dd/yyyy') : '(UNKNOWN' }} {{ loc.toDate ? ' - ' + (loc.toDate | date: 'MM/dd/yyyy') + ')' : ' - UNKNOWN)' }}
No Record Found

Environmental Factors:
{{ (!env.registrationDate || !env.examDate) ? 'Ionizing Radiation (Incomplete)' : 'Ionizing Radiation' }}
{{ (!env.registrationDate || !env.exposureMethod) ? env.typeOfExposure + ' (Incomplete)' : env.typeOfExposure }}
{{ (env.screeningStatus == '4' || env.screeningStatus == '5') ? env.typeOfExposure + ' (Verified)' : (env.screeningStatus == '3' ? env.typeOfExposure + ' (Pending Diagnosis)' : env.typeOfExposure) }}
No Record Found

POW: {{ patient.data.details?.data?.militaryService?.powInformation ? (patient.data.details?.data?.militaryService?.powInformation?.serviceIndicated ? 'Yes' : 'No') : 'No Record Found' }}
From/To: {{ patient.data.details?.data?.militaryService?.powInformation?.fromDate ? (patient.data.details?.data?.militaryService?.powInformation?.fromDate | date: 'MM/dd/yyyy') : 'UNKNOWN' }} {{ patient.data.details?.data?.militaryService?.powInformation?.toDate ? ' - ' + (patient.data.details?.data?.militaryService?.powInformation?.toDate | date: 'MM/dd/yyyy') : ' - UNKNOWN' }} None
War: {{ patient.data.details?.data?.militaryService?.powInformation?.location ? patient.data.details?.data?.militaryService?.powInformation?.location : 'None' }}
Combat: {{ patient.data.details?.data?.militaryService?.combatInformation ? (patient.data.details?.data?.militaryService?.combatInformation?.serviceIndicated ? 'Yes' : 'No') : 'No Record Found' }}
From/To: {{ patient.data.details?.data?.militaryService?.combatInformation?.fromDate ? (patient.data.details?.data?.militaryService?.combatInformation?.fromDate | date: 'MM/dd/yyyy') : 'UNKNOWN' }} {{ patient.data.details?.data?.militaryService?.combatInformation?.toDate ? ' - ' + (patient.data.details?.data?.militaryService?.combatInformation?.toDate | date: 'MM/dd/yyyy') : ' - UNKNOWN' }} None
Loc: {{ patient.data.details?.data?.militaryService?.combatInformation?.location ? patient.data.details?.data?.militaryService?.combatInformation?.location : 'None' }}

Military Disability Retirement: {{ patient.data.details?.data?.militaryService?.disabilityRetirement ? patient.data.details?.data?.militaryService?.disabilityRetirement : 'None' }}
Discharge Due to Disability: {{ patient.data.details?.data?.militaryService?.disabilityDischarge ? patient.data.details?.data?.militaryService?.disabilityDischarge : 'None' }}
Dental Injury: {{ patient.data.details?.data?.militaryService?.dentalInjury ? patient.data.details?.data?.militaryService?.dentalInjury : 'None' }}
Teeth Extracted: {{ patient.data.details?.data?.militaryService?.dentalExtraction ? patient.data.details?.data?.militaryService?.dentalExtraction : 'None' }}
Purple Heart: {{ patient.data.details?.data?.militaryService?.purpleHeartIndicator ? patient.data.details?.data?.militaryService?.purpleHeartIndicator : 'None' }}
Purple Heart Status: {{ patient.data.details?.data?.militaryService?.purpleHeartStatus ? patient.data.details?.data?.militaryService?.purpleHeartStatus : 'None' }}

Eligibility

Eligibility Information:

Combat Vet Status: {{ getCombatVetStatus() }}
End Date: {{ patient.data.details?.data?.eligibility?.combatVetEndDate ? (patient.data.details?.data?.eligibility?.combatVetEndDate | date: 'MM/dd/yyyy') : 'None' }}
Unemployable: {{ patient.data.details?.data?.eligibility?.unemployable ? patient.data.details?.data?.eligibility?.unemployable : 'None' }}
Permanent & Total Disabled: {{ patient.data.details?.data?.eligibility?.permanentTotalDisabled ? patient.data.details?.data?.eligibility?.permanentTotalDisabled : 'None' }}

Current Means Test Status: {{ patient.data.details?.data?.eligibility?.currentMeansTestStatus }}
Medication Copayment Exemption Status: {{ patient.data.details?.data?.eligibility?.medCopayExemptionStatus }}

Rx Patient Status: {{ patient.data.details?.data?.eligibility?.rxPatientStatus }}
Primary Eligibility: {{ patient.data.details?.data?.eligibility?.code ? (patient.data.details?.data?.eligibility?.code + (patient.data.details?.data?.eligibility?.status ? ' (' + patient.data.details?.data?.eligibility?.status + ')' : '')) : '' }}
SC Percent: {{ patient.data.details?.data?.eligibility?.serviceConnectedPercentage ? patient.data.details?.data?.eligibility?.serviceConnectedPercentage + '%' : '' }}

Rated Disabilities:
{{ disability.ratedDisability }} {{ (disability.disabilityPercentage && disability.isServiceConnected) ? ' (' + disability.disabilityPercentage + '%' + (disability.isServiceConnected ? ' - SC' : ' - NSC') + ')' : '(unspecified)' }}
None

Health Plans/Insurance

Health Benefit Plans Currently Assigned to Veteran:

{{ plan }}
None

Health Insurance Information:

Insurance COB Subscriber ID Group Holder Effective Expires
>Insurance{{ ins.insuranceType }} COB Subscriber ID{{ ins.subscriberId }} Group{{ ins.groupNumber }} Holder{{ ins.holder }} Effective{{ ins.effectiveDate | date: 'MM/dd/yyyy' }} Expires{{ ins.expiryDate | date: 'MM/dd/yyyy' }}
No Record Found

Social, Primary Care, Clinic Info

Social History:

Marital Status: {{ patient.data.details?.data?.socialHistory?.maritalStatus ? patient.data.details?.data?.socialHistory?.maritalStatus : 'None' }}
Religious Preference: {{ patient.data.details?.data?.socialHistory?.religion ? patient.data.details?.data?.socialHistory?.religion : 'None' }}
Race: {{ patient.data.details?.data?.socialHistory?.race ? patient.data.details?.data?.socialHistory?.race : 'None' }}
Method of Collection: {{ patient.data.details?.data?.socialHistory?.raceSource ? patient.data.details?.data?.socialHistory?.raceSource : 'None' }}
Ethnicity: {{ patient.data.details?.data?.socialHistory?.ethnicity ? patient.data.details?.data?.socialHistory?.ethnicity : 'None' }}
Method of Collection: {{ patient.data.details?.data?.socialHistory?.ethnicitySource ? patient.data.details?.data?.socialHistory?.ethnicitySource : 'None' }}

Primary Care Information:

No PACT assigned at any VA Location


Currently enrolled in clinics: , {{ clinic }} None

Future Appointments:
Date/Time Clinic
{{ appt.appointmentDate | date: 'MM/dd/yyyy HH:mm' }} {{ appt.clinic }}
None

Date of Death Information:
Date of Death: {{ patient.data.identity.dateOfDeath | date: 'MM/dd/yyyy' }}
Source of Notification: {{ patient.data.details?.data?.deathInformation?.source }}
Updated Date/Time: {{ patient.data.details?.data?.deathInformation?.updatedDate | date: 'MM/dd/yyyy HH:mm' }}
Last Edited By: {{ patient.data.details?.data?.deathInformation?.lastEditedBy }}

Pharmacy Info

Pharmacy Information:

CAP: {{ patient.data.details?.data?.pharmacyInformation?.capInformation ? patient.data.details?.data?.pharmacyInformation?.capInformation : 'None' }}
Fee Hospital I.D.: {{ patient.data.details?.data?.pharmacyInformation?.feeHospitalId ? patient.data.details?.data?.pharmacyInformation?.feeHospitalId : 'None' }}
Mail: {{ patient.data.details?.data?.pharmacyInformation?.mailInformation ? patient.data.details?.data?.pharmacyInformation?.mailInformation : 'None' }}
Mail Status Expiration Date: {{ patient.data.details?.data?.pharmacyInformation?.mailStatusExpDate ? (patient.data.details?.data?.pharmacyInformation?.mailStatusExpDate | date: 'MM/dd/yyyy') : 'None' }}
Dialysis Patient: {{ patient.data.details?.data?.pharmacyInformation?.dialysisPatient ? patient.data.details?.data?.pharmacyInformation?.dialysisPatient : 'None' }}
Patient Status: {{ patient.data.details?.data?.eligibility?.rxPatientStatus ? patient.data.details?.data?.eligibility?.rxPatientStatus : 'None' }}
CNH Current: {{ patient.data.details?.data?.pharmacyInformation?.cnhCurrent ? patient.data.details?.data?.pharmacyInformation?.cnhCurrent : 'None' }}
Community Nursing Home: {{ patient.data.details?.data?.pharmacyInformation?.nursingHome ? patient.data.details?.data?.pharmacyInformation?.nursingHome : 'None' }}
Nursing Home Contract: {{ patient.data.details?.data?.pharmacyInformation?.nursingHomeContract ? patient.data.details?.data?.pharmacyInformation?.nursingHomeContract : 'None' }}
Last Date of Contract: {{ patient.data.details?.data?.pharmacyInformation?.lastDateOfContract ? (patient.data.details?.data?.pharmacyInformation?.lastDateOfContract | date: 'MM/dd/yyyy') : 'None' }}
Respite Patient Start Date: {{ patient.data.details?.data?.pharmacyInformation?.respiteStartDate ? (patient.data.details?.data?.pharmacyInformation?.respiteStartDate | date: 'MM/dd/yyyy') : 'None' }}
Respite Patient End Date: {{ patient.data.details?.data?.pharmacyInformation?.respiteEndDate ? (patient.data.details?.data?.pharmacyInformation?.respiteEndDate | date: 'MM/dd/yyyy') : 'None' }}
Other Language Preference: {{ patient.data.details?.data?.pharmacyInformation?.otherLanguagePref ? patient.data.details?.data?.pharmacyInformation?.otherLanguagePref : 'None' }}
PMI Language Preference: {{ patient.data.details?.data?.pharmacyInformation?.pmiLanguagePref ? patient.data.details?.data?.pharmacyInformation?.pmiLanguagePref : 'None' }}
Remarks: {{ patient.data.details?.data.pharmacyInformation?.remarks ? patient.data.details?.data.pharmacyInformation?.remarks : 'None' }}
Outpatient Narrative: {{ patient.data.details?.data.pharmacyInformation?.opNarrative ? patient.data.details?.data.pharmacyInformation?.opNarrative : 'None' }}
Inpatient Narrative: {{ patient.data.details?.data.pharmacyInformation?.ipNarrative ? patient.data.details?.data.pharmacyInformation?.ipNarrative : 'None' }}

Patient Details Unavailable: {{ patient.data.details?.err}}