Patient information

Joan Mac Donald

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:47:55 PM (GMT GMT+0000)
First name
Joan
Last name
Mac Donald
Gender
Female
Date of Birth
4/1/81
Marital status
Identity Reliability Code

Home

Street address line
16 Main Street, Sicktown
Zip Code
D02 H692
City
Dublin
State
Co. Dublin
Country
IE

Home

Street address line
16 Main Street, Sicktown
Zip Code
D02 H692
City
Dublin
State
Co. Dublin
Country
IE
Patient Identifiers
  • 123451234512345016^^^&1.2.372.980010.1.2&ISO
  • 8888887B^^^&1.2.372.980010.1.2&ISO
Email
joan.macdonald@dummypatient.com
Primary Residence Number
0871701716
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
e9b22829-afae-4c1f-87d1-6244b1e53815
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1944
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