Patient information

Michael Ehealth

Simulated actor
Connectathon
Last modifier
rpoirier
Last modified date
5/20/20 8:08:36 PM (CEST GMT+0200)
First name
Michael
Last name
Ehealth
Gender
Male
Date of Birth
10/10/85
Marital status
Identity Reliability Code

Home

Street address line
4th Ave SE
Zip Code
46032-1361
City
Carmel
State
Indiana
Country
USA

Home

Street address line
100 Main St
Zip Code
02048
City
Mansfield
State
MA
Country
USA
Patient Identifiers
  • DDS-CATT-54720^^^DDS-CATT&1.3.6.1.4.1.12559.11.24.4.9&ISO (PI)
  • 777-77-0208^^^&2.16.840.1.113883.4.1&ISO (PI)
  • P-000000311^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO (PI)
  • CVS8102204^^^1.2.840.114350.1.13.418.3.7.3.688884.100&ISO
Email
Account number
AN196^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0b94ebf9-2072-4863-b862-945df857e043
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1958
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action