Patient information

MELISSA STONEWORTH

Simulated actor
Connectathon
Last modifier
matt
Last modified date
3/22/22 7:24:13 PM (EDT GMT-0400)
First name
MELISSA
Last name
STONEWORTH
Gender
Female
Date of Birth
4/4/44
Marital status
Identity Reliability Code

Home

Street address line
345 Main Street
Zip Code
02920
City
Cranston
State
RI
Patient Identifiers
  • 540806^^^&2.16.840.1.113883.3.915&ISO
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
e80ec17d-cbd3-4f6a-aecd-5a02e0261fea
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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