Patient information

Stephanie Rickman

Simulated actor
Patient Identity Source
Last modifier
Meenal T
Last modified date
4/30/19 12:29:59 PM (CEST GMT+0200)
First name
Stephanie
Last name
Rickman
Mother's maiden name
Kirchner
Gender
Female
Date of Birth
10/17/10
Religion
Christian: Protestant
Race
Black or African American
Marital status
Identity Reliability Code

Home

Street address line
191st Place Southwest
Zip Code
98036
City
Lynnwood
State
Washington
Country
USA
Patient Identifiers
  • DDS-65564^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8881^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8d1cb500-3cfe-49fe-8fb4-37bed41bb1e8
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2010
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 12:30:05.759 - Patient has been created by meenal
  • 2019-04-30 12:30:09.276 - 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
VN13685^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 1/31/22 12:39:42 PM (CET GMT+0100)