Patient information

Ruth Horowitz

Simulated actor
Patient Identity Source
Last modifier
Meenal T
Last modified date
4/30/19 12:48:56 PM (CEST GMT+0200)
First name
Ruth
Last name
Horowitz
Mother's maiden name
Vanburen
Gender
Female
Date of Birth
12/30/75
Religion
Christian: Protestant
Race
White
Marital status
Identity Reliability Code

Home

Street address line
Northwest Renfro Street
Zip Code
76028
City
Burleson
State
Texas
Country
USA
Patient Identifiers
  • DDS-65566^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8883^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
359e16ec-4013-42a7-af17-c1f029255d1c
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1975
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
  • 2019-04-30 12:48:59.919 - Patient has been created by meenal
  • 2019-04-30 12:49:04.294 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message by meenal
Visit number
Patient status
Patient class
Last modified date
Action
VN13684^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 1/31/22 12:19:38 PM (CET GMT+0100)