Patient information

Mary Billups

Simulated actor
Patient Encounter Supplier
Last modifier
Georgios Kavlentakis
Last modified date
4/24/24 2:52:58 PM (CEST GMT+0200)
First name
Mary
Last name
Billups
Mother's maiden name
Fincher
Gender
Female
Date of Birth
12/6/42
Religion
Christian: Protestant
Race
Black or African American
Marital status
Identity Reliability Code

Home

Street address line
West Irving Avenue
Zip Code
54901
City
Oshkosh
State
Wisconsin
Country
USA
Patient Identifiers
  • IHEBLUE-3334^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3334^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3334^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3334^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5823^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN11922^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ae9154b2-33f1-4eaf-971c-5faeaace0b52
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1942
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
VN15343^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 4/24/24 2:53:44 PM (CEST GMT+0200)