Patient information

HOMER SIMPSON

Simulated actor
Connectathon
Last modifier
aeschlimann
Last modified date
6/11/20 11:31:20 AM (IST GMT+0100)
First name
HOMER
Last name
SIMPSON
Gender
Male
Date of Birth
1/31/70
Marital status
Identity Reliability Code

Home

Street address line
APT H, SIMPSON STREET
Zip Code
A11B223
City
SPRINGFIELD
State
CO SPRINGFIELD
Country
IRL
Patient Identifiers
  • 539305450001581645^^^&1.2.372.980010.1.2&ISO
  • 1234567R^^^&1.2.372.980010.1.2&ISO
Email
Homer@Simpsons.com
Primary Residence Number
+353112233445566
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
7cc7e857-58d2-4c9b-8297-b8c0a86f54e5
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