Patient information

William WLATERS

Simulated actor
Connectathon
Last modifier
ycadoret
Last modified date
9/8/20 5:39:18 PM (CEST GMT+0200)
First name
William
Last name
WLATERS
Mother's maiden name
Garmon
Gender
Male
Date of Birth
4/25/81
Race
White
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^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3035^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3035^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3035^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3035^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN9537^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c8cfdd5e-81c2-4357-add2-4f9b3e5dc216
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1981
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12015^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED W 10/20/20 9:44:50 AM (CEST GMT+0200)