Patient information

JAMES T. KIRK

Simulated actor
Connectathon
Last modifier
aeschlimann
Last modified date
6/11/20 11:33:37 AM (IST GMT+0100)
First name
JAMES T.
Last name
KIRK
Gender
Male
Date of Birth
12/30/70
Marital status
Identity Reliability Code

Home

Street address line
APT 3, ENTERPRISE STREET
Zip Code
D11C2C3
City
DUBLIN
State
CO DUBLIN
Country
IE
Patient Identifiers
  • 539305450001604603^^^&1.2.372.980010.1.2&ISO
  • 1234567M^^^&1.2.372.980010.1.2&ISO
Email
JamesKirk@SpaceCadet.com
Primary Residence Number
+353871701701
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
5cdd3296-e2b1-42cc-bbd9-5bf75106ba64
Socio-professional occupation
Socio-professional group
Lunar Date
- -
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action