Patient information

Frederick SDC-ONE

Simulated actor
Connectathon
Last modifier
lynn
Last modified date
10/23/19 9:10:16 PM (CEST GMT+0200)
First name
Frederick
Last name
SDC-ONE
Mother's maiden name
Donovan
Gender
Male
Date of Birth
8/5/48
Religion
Nonreligious
Race
White
Marital status
Identity Reliability Code

Home

Street address line
Jefferson Street
Zip Code
55303
City
Anoka
State
Minnesota
Country
USA
Patient Identifiers
  • IHEBLUE-2999^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-2999^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-2999^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-2999^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5517^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9078^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1fbfb967-db9b-4115-96d3-42c037ba891b
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1948
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN11174^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED E 1/6/20 4:38:46 PM (CET GMT+0100)