Patient information

Matha Lytle

Simulated actor
ADT
Last modifier
Jingjing JI
Last modified date
5/23/22 10:46:56 AM (CEST GMT+0200)
First name
Matha
Last name
Lytle
Mother's maiden name
Woodall
Gender
Female
Date of Birth
6/23/48
Marital status
Identity Reliability Code

Home

Street address line
Mazie Drive
Zip Code
94523
City
Pleasant Hill
State
California
Country
USA
Patient Identifiers
  • DDS-47760^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
4124^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
38cf9657-a8e8-4404-b3e9-4ff0a78cd219
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
4125^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED O 5/16/14 9:09:42 AM (CEST GMT+0200)
4368^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 8:52:46 AM (CEST GMT+0200)
4370^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 8:53:57 AM (CEST GMT+0200)
4372^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 8:58:19 AM (CEST GMT+0200)
4374^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 9:04:59 AM (CEST GMT+0200)
4376^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 9:06:01 AM (CEST GMT+0200)
4378^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 9/25/14 9:07:39 AM (CEST GMT+0200)