Patient information

Chdrone Chdrzzztestpatient

Simulated actor
Connectathon
Last modifier
myackanich
Last modified date
2/5/20 2:42:02 PM (CET GMT+0100)
First name
Chdrone
Last name
Chdrzzztestpatient
Gender
Male
Date of Birth
3/3/60
Marital status
Identity Reliability Code

Home

Street address line
1234 Howard St
Zip Code
92038
City
La Jolla
State
CA
Country
USA
Patient Identifiers
  • DDS-CATT-54711^^^DDS-CATT&1.3.6.1.4.1.12559.11.24.4.9&ISO (PI)
  • 777-77-0202^^^&2.16.840.1.113883.4.1&ISO (PI)
  • P-000000304^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO (PI)
  • 100615224^^^&2.16.840.1.113883.3.2697&ISO
  • 14453618-f8b4-4b46-8535-bf947bc5c63c^^^&1.3.6.1.4.1.41800&ISO
  • DDS-CATT-54711^^^&1.3.6.1.4.1.12559.11.24.4.9&ISO
  • 100099552^^^&2.16.840.1.113883.3.4234.2&ISO
  • 666000001^^^&2.16.840.1.113883.4.1&ISO
Email
Account number
AN190^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
68ae44dc-df25-444f-87a0-7fab461dc1ba
Socio-professional occupation
Socio-professional group
Lunar Date
- -
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action