Patient information

Dan Mathis

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:25:35 PM (GMT GMT+0000)
First name
Dan
Last name
Mathis
Gender
Male
Date of Birth
9/1/80
Marital status
Identity Reliability Code

Home

Street address line
9 Main Street, Sicktown
Zip Code
D02 H694
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45009^^^&1.2.372.980010.1.2&ISO
  • 8888889A^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN37^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8f5283e5-f63d-4842-b1d8-5206174014a8
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