Patient information

Annelise Black

Simulated actor
Connectathon
Last modifier
moores
Last modified date
5/17/21 10:04:24 PM (CEST GMT+0200)
First name
Annelise
Last name
Black
Mother's maiden name
Leroy
Gender
Female
Date of Birth
6/1/88
Marital status
Identity Reliability Code

Home

Street address line
Rue des Maisons Neuves
Zip Code
91700
City
Sainte-Geneviève-des-Bois
Country
FRA
Patient Identifiers
  • IHEBLUE-3160^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3160^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3160^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3160^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5678^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
  • EUR01P0002^^^TRILLLIUMBRIDGE&1.3.6.1.4.1.21367.13.20.4000&ISO^PI (PI)
Email
Account number
AN10189^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1f888619-0bc8-4156-8ebc-4ef1ce95fc51
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2018
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12799^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED S 5/25/21 8:25:03 AM (CEST GMT+0200)