Patient information

Blake Lee

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 12:22:34 PM (GMT GMT+0000)
First name
Blake
Last name
Lee
Gender
Male
Date of Birth
1/1/80
Marital status
Identity Reliability Code

Home

Street address line
1 Main Street, College Green
Zip Code
D02 H684
City
Dublin
State
Dublin
Country
IRL

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Patient Identifiers
  • 1234-512-345-123-45001^^^&1.2.372.980010.1.2&ISO
  • 8888881A^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN27^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9fa3644b-ada9-45eb-ba19-ce99eaceae3e
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