Patient information

PEC PAMFIVE

Simulated actor
Patient Encounter Consumer
Last modifier
EPIC_EHS
Last modified date
3/9/23 4:17:25 PM (CET GMT+0100)
First name
PEC
Last name
PAMFIVE
Gender
Male
Date of Birth
12/19/98
Race
White
Marital status
Identity Reliability Code

Permanent

Street address line
1979 MILKY WAY DR
Zip Code
53575
City
VERONA
State
WI
Country
US
Patient Identifiers
  • E243325^^^PI&& (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
88cb525d-971c-4d8c-b333-10aef450b1ff
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
696839^^^EPIC REGISTERED O 3/9/23 4:17:25 PM (CET GMT+0100)