Patient information

Mitzi Atchison

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/10/19 7:23:40 AM (CEST GMT+0200)
First name
Mitzi
Last name
Atchison
Mother's maiden name
Steadman
Gender
Female
Date of Birth
10/29/57
Religion
Christian: Roman Catholic
Race
White
Marital status
Identity Reliability Code

Home

Street address line
Grove Street
Zip Code
94804
City
Richmond
State
California
Country
USA
Patient Identifiers
  • DDS-65602^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8906^^^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
- - 1957
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-05-10 07:23:54.213 - Patient has been created
  • 2019-05-10 07:24:02.33 - 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
VN9515^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/14/19 2:14:38 PM (CEST GMT+0200)