Patient information

Rarron Adlere

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/4/19 3:50:43 PM (CEST GMT+0200)
First name
Rarron
Last name
Adlere
Mother's maiden name
Canady
Gender
Other
Date of Birth
2/17/71
Religion
Christian: Protestant
Race
Other race
Marital status
Identity Reliability Code

Home

Street address line
L Street North
Zip Code
72904
City
Fort Smith
State
Arkansas
Country
USA
Patient Identifiers
  • DDS-38362^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
1409^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&null^AN
Blood group
VIP Indicator
Birth Place Name
UUID
6f3f0a20-14a1-48a9-9acb-2f0bb5a04389
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
  • 2019-04-04 15:50:43.808 - Patient has been created by m.dellaquila
  • 2019-04-09 09:06:01.567 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A28^ADT_A05 message
  • 2019-04-09 09:10:43.92 - Patient has been linked with patient #12401
  • 2019-04-09 09:10:43.933 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A24^ADT_A24 message
  • 2019-04-09 09:12:36.42 - Patient has been unlinked from patient #12401
  • 2019-04-09 09:12:36.433 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A37^ADT_A37 message
  • 2019-04-09 09:16:33.133 - Patient has been unlinked from patient #12401
  • 2019-04-09 09:16:33.147 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A37^ADT_A37 message
  • 2019-04-09 09:17:46.586 - Patient has been unlinked from patient #12401
  • 2019-04-09 09:17:46.601 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A37^ADT_A37 message
Visit number
Patient status
Patient class
Last modified date
Action