Patient information

Blake Lee

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 12:22:34 PM (GMT GMT+0000)
First name
Blake
Last name
Lee
Gender
Male
Date of Birth
1/1/80
Marital status
Identity Reliability Code

Home

Street address line
1 Main Street, College Green
Zip Code
D02 H684
City
Dublin
State
Dublin
Country
IRL

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Patient Identifiers
  • 1234-512-345-123-45001^^^&1.2.372.980010.1.2&ISO
  • 8888881A^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN27^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9fa3644b-ada9-45eb-ba19-ce99eaceae3e
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1948
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action