Patient information

ChadwickTest Ross

Simulated actor
Connectathon
Last modifier
Anonymous
Last modified date
8/6/24 12:09:14 PM (CEST GMT+0200)
First name
ChadwickTest
Last name
Ross
Gender
Male
Date of Birth
2/29/60
Marital status
Identity Reliability Code

Home

Street address line
Via Geremia Bonomelli
Zip Code
26100
City
Cremona
Country
ITA

Home

Street address line
Hardwick Street
Zip Code
90712
City
Lakewood
State
California
Country
USA
Patient Identifiers
  • IHEFACILITY-3162^^^&1.3.6.1.4.1.21367.3000.1.6&ISO (ISO)
  • IHEGREEN-3162^^^&1.3.6.1.4.1.21367.13.20.2000&ISO (ISO)
  • IHEBLUE-3163^^^&1.3.6.1.4.1.21367.13.20.3000&ISO (ISO)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
PatientPIXmFeed
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