Patient information

Chdrone Chdrzzztestpatient

Simulated actor
Connectathon
Last modifier
myackanich
Last modified date
2/5/20 2:42:02 PM (EST GMT-0500)
Warning: this patient is no more active and cannot be updated anymore
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
  • RGTESTS-01^^^&2.16.840.1.113883.3.7204.1.3.1.2&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
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