Patient information

Sean Wright

Simulated actor
Connectathon
Last modifier
sryan
Last modified date
2/23/21 1:20:49 PM (GMT GMT+0000)
First name
Sean
Last name
Wright
Gender
Male
Date of Birth
11/30/80
Marital status
Identity Reliability Code

Home

Street address line
12 Main Street, Sicktown
Zip Code
D02 H692
City
Dublin
State
Co. Dublin
Country
IRL
Patient Identifiers
  • 1234-512-345-123-45012^^^&1.2.372.980010.1.2&ISO
  • 8888882B^^^&1.2.372.980010.1.2&ISO
Email
Account number
GZLAN36^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4dacf863-675a-4f43-a7b8-4c5622b04d35
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2005
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