Patient information

Michael Ehealth

Simulated actor
Connectathon
Last modifier
rpoirier
Last modified date
5/20/20 8:08:36 PM (EDT GMT-0400)
Warning: this patient is no more active and cannot be updated anymore
First name
Michael
Last name
Ehealth
Gender
Male
Date of Birth
10/10/85
Marital status
Identity Reliability Code

Home

Street address line
4th Ave SE
Zip Code
46032-1361
City
Carmel
State
Indiana
Country
USA

Home

Street address line
100 Main St
Zip Code
02048
City
Mansfield
State
MA
Country
USA
Patient Identifiers
  • DDS-CATT-54720^^^DDS-CATT&1.3.6.1.4.1.12559.11.24.4.9&ISO (PI)
  • 777-77-0208^^^&2.16.840.1.113883.4.1&ISO (PI)
  • P-000000311^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO (PI)
  • CVS8102204^^^1.2.840.114350.1.13.418.3.7.3.688884.100&ISO
Email
Account number
AN196^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0b94ebf9-2072-4863-b862-945df857e043
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1958
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