Patient information

William WLATERS

Simulated actor
Connectathon
Last modifier
r.hilary
Last modified date
2/12/21 8:51:38 AM (GMT GMT+0000)
First name
William
Last name
WLATERS
Gender
Male
Date of Birth
4/24/81
Marital status
Identity Reliability Code

Home

Street address line
Hunter Street
Zip Code
27502
City
Apex
State
North Carolina
Country
USA
Patient Identifiers
  • DDS-71071^^^&1.3.6.1.4.1.12559.11.1.4.1.2&ISO
  • IHEBLUE-3035^^^&1.3.6.1.4.1.21367.13.20.3000&ISO
  • IHEFACILITY-3035^^^&1.3.6.1.4.1.21367.3000.1.6&ISO
  • IHEGREEN-3035^^^&1.3.6.1.4.1.21367.13.20.2000&ISO
  • IHERED-3035^^^&1.3.6.1.4.1.21367.13.20.1000&ISO
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
2bae87bd-094c-4cca-925e-2217fa37ac97
Socio-professional occupation
Socio-professional group
Lunar Date
- -
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action