Patient information

Julio SDC-TWO

Simulated actor
Connectathon
Last modifier
lynn
Last modified date
10/23/19 9:15:16 PM (CEST GMT+0200)
First name
Julio
Last name
SDC-TWO
Mother's maiden name
Villasenor
Gender
Male
Date of Birth
3/13/38
Religion
Christian: Roman Catholic
Race
American Indian or Alaskan Native
Marital status
Identity Reliability Code

Home

Street address line
Harrison Lane
Zip Code
76053
City
Hurst
State
Texas
Country
USA
Patient Identifiers
  • IHEBLUE-3003^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3003^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3003^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3003^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5521^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9082^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
569e09ca-e853-43f6-bf39-914d0578dd60
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1938
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN11039^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED D 1/2/20 2:12:22 PM (CET GMT+0100)