Patient information

Kendra SDC-FOUR

Simulated actor
Connectathon
Last modifier
lynn
Last modified date
10/23/19 9:17:11 PM (CEST GMT+0200)
First name
Kendra
Last name
SDC-FOUR
Mother's maiden name
Bradbury
Gender
Female
Date of Birth
5/31/57
Religion
Christian: Protestant
Race
Black or African American
Marital status
Identity Reliability Code

Home

Street address line
Morris Avenue
Zip Code
11542
City
Glen Cove
State
New York
Country
USA
Patient Identifiers
  • IHEBLUE-3005^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3005^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3005^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3005^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5523^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9084^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b9a795ec-3f2a-4cf4-a177-ea737c14b823
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1957
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN11037^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED B 1/2/20 2:08:01 PM (CET GMT+0100)