Patient details

Patient's demographics

First name
MOD_TEST
Last name
COMP
Gender
Unknown
Date of Birth
9/30/17

Patient's address

Home

Street address line
South Main Street
Zip Code
53095
City
West Bend
State
Wisconsin
Country
USA

Patient's identifiers

  • DDS-75505^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)

Observations

Weight (kg)
101
Size (cm)
124

Patient's encounters

Visit number
Patient's class code
Referring doctor
Assigned location
Creation Date
Creator
VN16036^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VNILOPEZ^GABRIELLA^^^DR0N^312^C^ITALIAN_HOSPITAL6/16/25 10:25:36 AM (CEST GMT+0200)84dcae0a-d4fb-4bb4-812f-2e2c88828964