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
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1948
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