Patient information

ALICE MAIDEN

Simulated actor
Connectathon
Last modifier
ycadoret
Last modified date
9/8/20 5:52:08 PM (CEST GMT+0200)
First name
ALICE
Last name
MAIDEN
Mother's maiden name
Mcfadden
Gender
Female
Date of Birth
5/29/41
Religion
Christian: Roman Catholic
Race
White
Marital status
Identity Reliability Code

Home

Street address line
North 7th Street
Zip Code
92227
City
Brawley
State
California
Country
USA
Patient Identifiers
  • DDS-71072^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3036^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3036^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3036^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3036^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN9538^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
12215826-b9d8-40ef-beaf-00a05fbe5f30
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1941
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12014^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED S 10/20/20 9:44:40 AM (CEST GMT+0200)