Patient information

Nwhinone Nwhinzzztestpatient

Simulated actor
Connectathon
Last modifier
tnylander
Last modified date
1/12/22 8:48:08 PM (EST GMT-0500)
Warning: this patient is no more active and cannot be updated anymore
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

Home

Patient Identifiers
  • ENP1894900^^^&1.2.840.114350.1.13.629.3.7.3.688884.100&ISO
  • EV10045900^^^&1.2.840.114350.1.13.11511.3.7.3.688884.100.1000&ISO
  • 179595^^^&1.3.6.1.4.1.26580.10.1.100&ISO
  • ECT2328900^^^&1.2.840.114350.1.13.423.3.7.3.688884.100&ISO
  • 181168^^^&1.3.6.1.4.1.26580.10.1.100&ISO
Email
Primary Residence Number
+1-205-111-1111
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
8e31a33b-f053-4852-9c0c-afe315291856
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