Patient information

NWHINONE NWHINZZZTESTPATIENT

Simulated actor
Connectathon
Last modifier
matt
Last modified date
2/3/20 5:07:33 PM (CET GMT+0100)
First name
NWHINONE
Last name
NWHINZZZTESTPATIENT
Gender
Male
Date of Birth
1/1/81
Marital status
Identity Reliability Code

Home

Street address line
1100 Test Street
Zip Code
35080
City
Helena
State
AL
Country
USA
Patient Identifiers
  • 594375^^^&2.16.840.1.113883.3.915&ISO
  • AVT7285401^^^&1.2.840.114350.1.13.605.3.7.3.688884.100&ISO
  • OEC0158600^^^&2.16.840.1.113883.3.190&ISO
Email
Primary Residence Number
+1-205-111-1111
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
70ec82d4-17af-4161-bc2f-f8981be0b5d2
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2007
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
Visit number
Patient status
Patient class
Last modified date
Action