Patient information

William Berry

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:35:14 PM (GMT GMT+0000)
First name
William
Last name
Berry
Gender
Male
Date of Birth
11/1/80
Marital status
Identity Reliability Code

Home

Street address line
14 Main Street, Sicktown
Zip Code
D02 H688
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45014^^^&1.2.372.980010.1.2&ISO
  • 8888885B^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN40^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9b2aeaa8-7152-4969-a0fd-f502851fc9b5
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2004
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action