Patient information

Eva Folse

Simulated actor
Patient Identity Source
Last modifier
Meenal T
Last modified date
4/30/19 12:15:36 PM (CEST GMT+0200)
First name
Eva
Last name
Folse
Mother's maiden name
Rodgers
Gender
Female
Date of Birth
1/15/04
Religion
Christian: Protestant
Race
White
Marital status
Identity Reliability Code

Home

Street address line
Woodmont Avenue
Zip Code
22814
City
Bethesda
State
Maryland
Country
USA
Patient Identifiers
  • DDS-65562^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8879^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ffb26e46-a0a0-4a34-b832-63cebe0df679
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2004
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 12:15:46.073 - Patient has been created by meenal
  • 2019-04-30 12:15:49.745 - 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
VN13687^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 1/31/22 12:44:49 PM (CET GMT+0100)