Summary Table
Categories |
Total Count |
PII |
0 |
URL |
0 |
DNS |
0 |
EKL |
0 |
IP |
0 |
PORT |
0 |
VsID |
0 |
CF |
0 |
AI |
0 |
VPD |
0 |
PL |
0 |
Other |
0 |
File Content
{
"site" : {
"siteName" : "TEST VAMC",
"stationNumber" : "555"
},
"oneVAStatus" : "TEST STATUS",
"eligibility" : {
"code" : "TEST",
"status" : "Verified",
"serviceConnected" : true,
"serviceConnectedPercentage" : 40,
"rxPatientStatus" : "NSC",
"combatVetEndDate" : "10/30/2018",
"unemployable" : "No",
"permanentTotalDisabled" : "No",
"currentMeansTestStatus" : "Required",
"medCopayExemptionStatus" : "EXEMPT"
},
"disabilities" : [{
"ratedDisability" : "Loss of Arm",
"disabilityPercentage" : 20,
"isServiceConnected" : true
},
{
"ratedDisability" : "TEST DISABILITY1",
"isServiceConnected" : false
},
{
"ratedDisability" : "TEST DISABILITY2",
"disabilityPercentage" : 10
}
],
"patientCareTeams" : [{
"name" : "Gold Team",
"purpose" : "Primary Care",
"contactDetails" : {
"phone" : "123-123-1234",
"type" : "Pager"
},
"primaryCareProvider" : {
"name" : "PROVIDER, THREE",
"contactDetails" : {
"phone" : "123-123-4444"
}
},
"mentalHealthTeamCoordinator" : {
"name" : "NURSE, THREE",
"contactDetails" : {
"phone" : "123-123-3333",
"pager" : "33333"
}
},
"mentalHealthTeamName" : "Red Team",
"mentalHealthTeamContactDetails" : {
"phone" : "123-123-9999"
},
"facility" : {
"siteName" : "TEST VAMC",
"stationNumber" : "555"
},
"assignedDate" : "2001-01-01T09:09:09-05:00",
"teamPositions" : [{
"name" : "PROVIDER, THREE",
"contactDetails" : {
"phone" : "123-123-1111",
"pager" : "11111"
},
"role" : "Primary Care Provider",
"status" : "ACTIVE"
},
{
"name" : "CARE, TEST",
"contactDetails" : {
"phone" : "123-123-2222",
"pager" : "22222"
},
"role" : "Care Manager",
"status" : "ACTIVE"
},
{
"name" : "PHARMACIST, THREE",
"contactDetails" : {
"phone" : "123-123-3333",
"pager" : "33333"
},
"role" : "Pharmacist",
"status" : "ACTIVE"
},
{
"name" : "ADMIN, THREE",
"contactDetails" : {
"phone" : "123-123-3333",
"pager" : "33333"
},
"role" : "Administrator",
"status" : "ACTIVE"
}]
},
{
"name" : "Red Team",
"purpose" : "Mental Health Treatment",
"contactDetails" : {
"phone" : "123-123-9999",
"pager" : "99999"
},
"facility" : {
"siteName" : "TEST MH FAC",
"stationNumber" : "666"
},
"assignedDate" : "2001-01-01T09:09:09-05:00",
"teamPositions" : [{
"name" : "NURSE, FOUR",
"contactDetails" : {
"phone" : "123-123-8888",
"pager" : "88888"
},
"role" : "Mental Health Treatment Coordinator",
"status" : "ACTIVE",
"facility" : {
"siteName" : "HINES VAMC",
"stationNumber" : "578"
}
}]
},
{
"name" : "Green Team",
"purpose" : "Primary Care",
"contactDetails" : {
"phone" : "123-222-1234",
"pager" : "12225"
},
"primaryCareProvider" : {
"name" : "PROVIDER, SEVEN",
"contactDetails" : {
"phone" : "123-123-7777"
}
},
"mentalHealthTeamCoordinator" : {
"name" : "NURSE, SEVEN",
"contactDetails" : {
"phone" : "123-123-3337",
"pager" : "33337"
}
},
"mentalHealthTeamName" : "Test MH7 Team",
"mentalHealthTeamContactDetails" : {
"phone" : "123-123-9997"
},
"facility" : {
"siteName" : "NORTH TEST VAMC",
"stationNumber" : "667"
},
"assignedDate" : "2001-01-01T09:09:09-05:00",
"teamPositions" : [{
"name" : "PROVIDER, THREE",
"contactDetails" : {
"phone" : "123-222-1111",
"pager" : "12221"
},
"role" : "Primary Care Provider",
"status" : "ACTIVE",
"facility" : {
"siteName" : "NORTH CHICAGO VAMC",
"stationNumber" : "556"
}
}]
},
{
"name" : "Red Team",
"purpose" : "Primary Care",
"contactDetails" : {
"phone" : "123-222-1234",
"pager" : "12225"
},
"primaryCareProvider" : {
"name" : "PROVIDER, SEVEN",
"contactDetails" : {
"phone" : "123-123-7777"
}
},
"facility" : {
"siteName" : "SOUTH TEST VAMC",
"stationNumber" : "698"
},
"assignedDate" : "2001-01-01T09:09:09-05:00",
"teamPositions" : [{
"name" : "PROVIDER, THREE",
"contactDetails" : {
"phone" : "123-222-1111",
"pager" : "12221"
},
"role" : "Primary Care Provider",
"status" : "ACTIVE",
"facility" : {
"siteName" : "SOUTH CHICAGO VAMC",
"stationNumber" : "556"
}
}]
}],
"permanentAddress" : {
"address" : {
"street" : "7500 LINCOLN WAY",
"streetLine2" : "UNIT 508",
"streetLine3" : "BLDG #5",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
}
},
"temporaryAddress" : {
"address" : {
"street" : "6309 SUN DRIVE",
"streetLine2" : "PRESIDENTIAL BLDG",
"streetLine3" : "UNIT 309",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
},
"active" : "true",
"fromDate" : "2011-01-02T01:01:00-08:00",
"toDate" : "2012-02-02T02:02:09-08:00"
},
"confidentialAddress" : {
"address" : {
"street" : "6666 SUN DRIVE",
"streetLine2" : "BLDG X",
"streetLine3" : "UNIT 666",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON",
"country" : "UNITED STATES"
},
"active" : "true",
"fromDate" : "2003-03-03T03:03:09-05:00",
"toDate" : "2004-04-04T04:04:09-05:00",
"confidentialAddressCategories" : [
"COPAYMENTS/VETERAN BILLING",
"TEST CATEGORY1",
"TEST CATEGORY2"
],
"activeConfidentialCategory" : ""
},
"emergencyContactPrimary" : {
"name" : "SMITH, MADELINE",
"address" : {
"street" : "7511 LINCOLN WAY",
"streetLine2" : "UNIT 588",
"streetLine3" : "BLDG 10",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
}
},
"emergencyContactSecondary" : {
"name" : "SMITH, EARL",
"address" : {
"street" : "7512 ONE WAY",
"streetLine2" : "UNIT 555",
"streetLine3" : "BLDG 55",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
}
},
"nextOfKinPrimary" : {
"name" : "SMITH, MADELINE",
"address" : {
"street" : "7500 LINCOLN WAY",
"streetLine2" : "UNIT 508",
"streetLine3" : "BLDG #5",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
}
},
"nextOfKinSecondary" : {
"name" : "DANCER, MARY",
"address" : {
"street" : "6309 SUN DRIVE",
"streetLine2" : "UNIT 508",
"streetLine3" : "BLDG #5",
"city" : "CHICAGO",
"state" : "ILLINOIS",
"zip" : "60632",
"county" : "DAVIDSON",
"country" : "UNITED STATES"
}
},
"militaryService" : {
"powInformation" : {
"type" : "",
"serviceIndicated" : true
},
"combatInformation" : {
"type" : "",
"serviceIndicated" : true
}
},
"healthBenefits" : {
"plans" : [
"Test Plan"
]
},
"socialHistory" : {
"maritalStatus" : "Married",
"religion" : "",
"race" : "White",
"raceSource" : "Self Identification",
"ethnicity" : "Not Hispanic or Latino",
"ethnicitySource" : "Self Identification"
},
"deathInformation" : {
"source" : "Spouse/NOK/Other Person",
"updatedDate" : "2018-11-05T09:54:09-05:00",
"lastEditedBy" : "Nurse, Head"
},
"pharmacyInformation" : {
"cnhCurrent" : "",
"feeHospitalId" : "",
"capInformation" : "",
"mailInformation" : "",
"mailStatusExpDate" : "",
"dialysisPatient" : "",
"nursingHome" : "",
"nursingHomeContract" : "",
"lastDateOfContract" : "",
"respiteStartDate" : "",
"respiteEndDate" : "",
"otherLanguagePref" : "",
"pmiLanguagePref" : "",
"remarks" : "This is the remarks field and allows for up to 60 characters about the patient.",
"opNarrative" : "This is the outpatient narrative field and contains notable information about the patient that pertains to pharmacy. This field allows up to 250 characters. This is a test narrative. This is a test narrative. This is a test narrative.",
"ipNarrative" : "This is the inpatient pharmacy narrative field about the patient. This field allows up to 250 characters. This is a test narrative. This is a test narrative. This is a test narrative. This is a test narrative. This is a test narrative. This is a test narrative."
}
}