Patient information

Robert Dickerson

Simulated actor
Patient Demographic Supplier
Last modifier
aberge
Last modified date
12/19/18 3:16:06 PM (CET GMT+0100)
First name
Robert
Last name
Dickerson
Mother's maiden name
Christman
Gender
Male
Date of Birth
10/30/16
Religion
Christian: Roman Catholic
Race
White
Marital status
Identity Reliability Code

Home

Country
USA
Patient Identifiers
  • P-000000301^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO (PI)
  • P1219132108.41^^^&1.3.6.1.4.1.21367.13.20.1000&ISO
Email
Account number
AN187^^^IHEPAM&1.3.6.1.4.1.12559.11.20.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d8f11d5f-4e30-4dac-8fdd-11a35a5c8ea7
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2016
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action