Patient information

REGNOV PCLA D230

Simulated actor
Connectathon
Last modifier
michaelmccune
Last modified date
4/20/20 7:34:12 PM (EDT GMT-0400)
First name
REGNOV PCLA
Last name
D230
Gender
Male
Date of Birth
1/1/60
Marital status
Identity Reliability Code

Home

Street address line
1 TEST LANE
Zip Code
28801
City
ASHEVILLE
State
NC
Patient Identifiers
  • 0000982028^^^&2.16.840.1.113883.3.789&ISO
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
c30f17a3-947f-4747-be92-90a57568b4d3
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