Patient information

Clare Jackson

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 12:47:56 PM (GMT GMT+0000)
First name
Clare
Last name
Jackson
Gender
Female
Date of Birth
4/1/80
Marital status
Identity Reliability Code

Home

Street address line
4 Main Street, Sicktown
Zip Code
D02 H687
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45004^^^&1.2.372.980010.1.2&ISO
  • 8888884A^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN31^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d7f1060e-c762-4cd5-abd6-e0585734e466
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1976
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action