Patient information

Testing CareEverywhere

Simulated actor
Connectathon
Last modifier
tnylander
Last modified date
6/18/20 4:47:07 PM (CEST GMT+0200)
First name
Testing
Last name
CareEverywhere
Gender
Female
Date of Birth
2/27/05
Marital status
Identity Reliability Code

Home

Street address line
1400 John F Kennedy Blvd
Zip Code
19107
City
Philadelphia
State
PA
Country
USA
Patient Identifiers
  • DDS-CATT-54723^^^DDS-CATT&1.3.6.1.4.1.12559.11.24.4.9&ISO (PI)
  • 777-77-0211^^^&2.16.840.1.113883.4.1&ISO (PI)
  • P-000000314^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO (PI)
  • CHO2697165^^^&1.2.840.114350.1.13.20.3.7.3.688884.100&ISO
Email
Primary Residence Number
+1-217-555-1548
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
6fabd16e-5525-4bb8-9c95-9203ece51545
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