Patient details

Patient's demographics

First name
MOD_TEST
Last name
COMP
Gender
Male
Date of Birth
7/20/03

Patient's address

Home

Street address line
East 157th Street
Zip Code
60426
City
Harvey
State
Illinois
Country
USA

Patient's identifiers

  • DDS-75504^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)

Observations

Weight (kg)
30
Size (cm)
176

Patient's encounters

Visit number
Patient's class code
Referring doctor
Assigned location
Creation Date
Creator
VN16035^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VNBWEAVER^TIMOTHY^P^^DR0N^309^C^C6/16/25 10:23:46 AM (CEST GMT+0200)84dcae0a-d4fb-4bb4-812f-2e2c88828964