Patient information

PEC PAMFIVE

Simulated actor
Patient Encounter Consumer
Last modifier
EPIC_EHS
Last modified date
3/9/23 4:10:34 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
08a36103-a270-452f-8e23-b122a400afef
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