Patient information

Chadwick Ross

Simulated actor
Connectathon
Last modifier
moores
Last modified date
5/17/21 10:37:37 PM (CEST GMT+0200)
First name
Chadwick
Last name
Ross
Mother's maiden name
Haggerty
Gender
Male
Date of Birth
2/29/60
Race
White
Marital status
Married
Identity Reliability Code

Home

Street address line
Hardwick Street
Zip Code
90712
City
Lakewood
State
California
Country
USA
Patient Identifiers
  • IHEBLUE-3162^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3162^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3162^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3162^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5680^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10191^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0eeb1955-337d-4c23-b658-8f746653a683
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2005
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12758^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED D 5/18/21 12:01:34 PM (CEST GMT+0200)
VN12759^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/18/21 12:22:56 PM (CEST GMT+0200)
VN12760^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED S 5/18/21 12:44:39 PM (CEST GMT+0200)
VN12761^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED D 5/18/21 12:45:52 PM (CEST GMT+0200)
VN12762^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED P 5/18/21 12:57:51 PM (CEST GMT+0200)
VN12763^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED R 5/18/21 1:02:33 PM (CEST GMT+0200)
VN12764^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED S 5/18/21 1:12:17 PM (CEST GMT+0200)
VN12765^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED C 5/18/21 1:15:29 PM (CEST GMT+0200)