Patient information

Samantha Peters

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:15:40 PM (GMT GMT+0000)
First name
Samantha
Last name
Peters
Gender
Female
Date of Birth
10/1/80
Marital status
Identity Reliability Code

Home

Street address line
10 Main Street, Sicktown
Zip Code
D02 H691
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45010^^^&1.2.372.980010.1.2&ISO
  • 8888881B ^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN35^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ae146b0a-4f23-4b45-9eaf-1321f6f03e61
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