Patient | Patient, Joseph |
Patient ID(s) | PT-470127 2.16.840.1.113883.19.5
222-22-2222 2.16.840.1.113883.4.1 |
Contact info | Home:
2222 Home Street Sacramento, CA 94203, US |
Date of Birth | July 30, 1989 |
Sex | Male |
Race | American Indian or Alaska Native |
Ethnicity | Not Hispanic or Latino |
Primary Information Recipient: | SanDiego, Carmen |
Contact info | Home:
1234 Provider Street Sacramento, CA 94203, US |
eICR Identifier: | 38e6a983-38ad-484f-a7d2-b294cdbe5435 |
Public Health Reporting Communication: one or more conditions are reportable, or may be reportable, to public health.
Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient.
"Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" is reportable to "California Department of Public Health". The initial case report was sent to "California Department of Public Health". Additional information may be required for this report.
"Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)" for "California Department of Public Health"
Reporting is required immediately. Reporting to this Public Health Agency is based on "Both patient home address and provider facility address"
> CDC COVID-19 webpage (Information only)
> Local Health Department Contact Information (Information only)