PDQ Patient Demographic Consumer

PDQ Patient Demographic Consumer

Simulator

Name: Simulator Configuration

Sending Application : PatientManager

Sending Facility : IHE

System under test

Action to perform

Demographic information

First name

Second Name

Third Name

Last name

Mother's maiden name

Alternate names (click to open)

First name

Second Name

Third Name

Last name

Date of birth

Administrative Sex

Patient Identifiers

Patient account number

Account number

domain's namespace

domain's universal ID

domain's universal ID type

Addresses

No patient address defined yet

Phone numbers

No phone number defined yet

Additional information

Which domains are returned

domain's namespace

domain's universal ID

domain's universal ID type

Limit number of responses

Limit value

N/A

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