Patient information

John Barden

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/2/19 2:21:45 PM (CEST GMT+0200)
First name
John
Last name
Barden
Mother's maiden name
Seidel
Gender
Male
Date of Birth
10/3/76
Religion
Nonreligious
Race
White
Marital status
Identity Reliability Code

Home

Street address line
Laurel Street
Zip Code
06010
City
Bristol
State
Connecticut
Country
USA
Patient Identifiers
  • DDS-65574^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8889^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1976
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-05-02 14:21:59.053 - Patient has been created
  • 2019-05-02 14:22:03.318 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action