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" : "TEST678 VAMC",
"stationNumber" : "678"
},
"oneVAStatus" : "TEST STATUS",
"eligibility" : {
"code" : "TEST",
"serviceConnected" : false,
"serviceConnectedPercentage" : 40,
"rxPatientStatus" : "SC",
"unemployable" : "Yes",
"permanentTotalDisabled" : "Yes",
"currentMeansTestStatus" : "Required",
"medCopayExemptionStatus" : "EXEMPT"
},
"disabilities" : [{
"ratedDisability" : "Loss of Arm",
"disabilityPercentage" : 20,
"isServiceConnected" : true
},
{
"ratedDisability" : "TEST DISABILITY1",
"disabilityPercentage" : 30,
"isServiceConnected" : false
}
],
"contactDetails" : {
"phone" : "987-654-1111",
"pager" : "98765",
"fax" : "987-654-1112",
"email" : "SMITHR@GMAIL.COM",
"mobile" : "987-654-1113",
"home" : "987-654-1114",
"temporary" : "123-456-9999",
"other" : "987-654-1115"
},
"permanentAddress" : {
"address" : {
"street" : "7500 LINCOLN WAY",
"streetLine2" : "UNIT 508",
"streetLine3" : "BLDG #5",
"city" : "HERMITAGE",
"state" : "TN",
"zip" : "37076",
"county" : "DAVIDSON (037)",
"country" : "UNITED STATES"
},
"badAddressIndicator" : "UNDELIVERABLE"
},
"languages" : [{
"languagePref" : "SPANISH",
"languageDate" : "2018-08-08T08:08:09-05:00"
}],
"militaryService" : {
"serviceInformation" : [{
"branch" : "Marine Corps",
"number" : "34987",
"entryDate" : "05/1/1941",
"separationDate" : "11/4/1946"
}],
"conflictLocations" : [{
"location" : "Vietnam",
"type" : "",
"serviceIndicated" : false,
"fromDate" : "04/01/1971"
},
{
"location" : "Lebanon",
"type" : "",
"serviceIndicated" : false,
"fromDate" : "05-01-1992",
"toDate" : "05-01-1993"
}],
"environmentalExposures" : [{
"typeOfExposure" : "Agent Orange Exposure",
"exposureIndicated" : false,
"exposureMethod" : "",
"registrationDate" : "01/01/1971",
"examDate" : "02/02/1971",
"screeningStatus" : ""
}],
"powInformation" : {
"type" : "",
"serviceIndicated" : true,
"fromDate" : "01/01/1975"
},
"combatInformation" : {
"type" : "",
"serviceIndicated" : true,
"toDate" : "01/01/1975"
},
"disabilityRetirement" : "Yes",
"disabilityDischarge" : "Yes",
"dentalInjury" : "No",
"dentalExtraction" : "No",
"purpleHeartIndicator" : "Yes",
"purpleHeartStatus" : "PENDING"
},
"healthBenefits" : {
"insurance" : [{
"insuranceType" : "Blue Cross Blue Shield",
"subscriberId" : "9999999",
"groupNumber" : "44325",
"holder" : "Self",
"effectiveDate" : "2017-01-01T08:08:09-05:00",
"expiryDate" : "2018-01-01T08:08:09-05:00"
}]
},
"socialHistory" : {
"maritalStatus" : "",
"religion" : "",
"race" : "",
"raceSource" : "",
"ethnicity" : "",
"ethnicitySource" : ""
},
"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" : "",
"opNarrative" : "",
"ipNarrative" : ""
}
}