Patient information

Wendy Piper

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:09:16 PM (GMT GMT+0000)
First name
Wendy
Last name
Piper
Gender
Female
Date of Birth
5/1/80
Marital status
Identity Reliability Code

Home

Street address line
5 Main Street, Sicktown
Zip Code
D02 H688
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45005^^^&1.2.372.980010.1.2&ISO
  • 8888885A^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN33^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
081206e6-e03b-4230-8216-ff1bf7232a03
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1960
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
Visit number
Patient status
Patient class
Last modified date
Action