Patient information

JOSEPHINE BLOGGS

Simulated actor
Connectathon
Last modifier
aeschlimann
Last modified date
6/11/20 11:29:44 AM (IST GMT+0100)
First name
JOSEPHINE
Last name
BLOGGS
Gender
Female
Date of Birth
1/1/80
Marital status
Identity Reliability Code

Home

Street address line
HOUSE 2, NOWHERE STREET
Zip Code
A32B4C5
City
SPRINGFIELD
State
CO SPRINGFIELD
Country
IE
Patient Identifiers
  • 539305450001315929^^^&1.2.372.980010.1.2&ISO
  • 1111111S^^^&1.2.372.980010.1.2&ISO
Email
Josephine.Bloggs@BloggsHousehold.com
Primary Residence Number
+353112233445566
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
b3b7321b-0a5f-4bb7-a18d-005b32fce1b4
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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