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Document Details

Name

DR FRED CROWLEY

National Healthcare ID No.

2547 96514

ID Valid until

08/2025

Date of Birth

Jan 1983

Place of Birth

Dar es Salaam

Blood Group

AB+

Any Allergies

Grass and tree pollen - Hay fever (allergic rhinitis)

Medical Health Conditions

Heart Disease

Additional Information

Transaction Id

0x8fab6aad848e6d0acd7de96b8e1defdeaaa5c75c6db67d2e5c581ba08093605a

Hash

d20ebd1aa9f62e7d556515ba6895e443786b5cc6515a79d67a1d95642f988cbd

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Emergency Details

Next to Kin

Maria Crowley - Sister

Contact Number

255 12345678

Family Doctor

Dr Adam Wood

Doctor Contact

255 23412342

Emergency Medicine

Amiodarone (Cordarone, Pacerone)

Travel History

Travel Date	Timestamp	Scanning Address	From Destination	To Destination	Any Remarks?	Actions	Verify Button
26/01/2020	26/01/2020 22:09:34	Airport Dr, Brisbane Airport QLD 4008	Wuhan, China	Brisbane, Australia	Tested for mild fever - Symptoms of Coronavirus	Active monitoring for 14 days	Verify
25/01/2020	25/01/2020 16:21:56	Huangpi, Wuhan, Hubei, China	Wuhan, China	Brisbane, Australia	NIL	NIL	Verify
14/12/2019	14/12/2019 23:11:01	Le Grand-Saconnex, Switzerland	Geneva, Switzerland	Wuhan, China	Tested for Severe headache and Chest pain	High Blood Pressure, released after monitoring for 2 days	Verify

Dependents Information

Name	Date of Birth	Gender	Birth Certificate No	Relationship with Cardholder
Sachi Crowley	08/09/1980	Female	538987	Wife
Abimbola Crowley	04/11/2018	Male	4537890	Child
Tacitus Crowley	18/05/2010	Male	3425987	Child
Abimbola Crowley	26/02/2008	Female	2548987	Child

Medical History

Event	Recorded By	Timestamp	Scanning Address	Download Reports
High Blood Pressure Diagnosed	ABC Medical Centre, Geneva Dr Adam Wood (ID 1234567)	23/02/2010 18:47:28	Geneva, Switzerland	Download
Diabetes Type A Diagnosed	DEF Labs, Geneva Dr John Smith (ID 190909)	12/08/2010 12:11:11	Geneva, Switzerland	Download
Hairline Fracture - Operation	ABC Medical Centre, Geneva Dr Adam Wood (ID 1234567)	19/11/2018 22:13:48	Geneva, Switzerland	Download
Gall Bladder Removal - Surgery	XYZ Hospital, Geneva Dr Ibrahim David (ID 345345345)	30/07/2019 13:47:59	Geneva, Switzerland	Download

Vaccination Schedule

Required (Stage)	Vaccine Type	Description	Due By	Status	Timestamp	Scanning Address	Verify Button
Birth (within first 2 weeks)	Hepatitis B	Available at your nearest clinic. You must get this medical healthcard scanned before receiving vaccination	05/09/1983	Done	01/09/1983 12:47:28	Geneva, Switzerland	Verify
2 months	HepB-DTPa_Hib_IPV Pneumococcal vaccine Rotavirus	(hepatitis B, diphtheria, tetanus, acellular pertussis (whooping cough), Haemophilus influenzae type B, polio)	10/11/1983	Done	07/11/1983 10:27:01	Geneva, Switzerland	Verify
6 months	HepB-DTPa_Hib_IPV Pneumococcal vaccine Rotavirus Influenza (annually)	(hepatitis B, diphtheria, tetanus, acellular pertussis (whooping cough), Haemophilus influenzae type B, polio) Influenza (annually) – for those with certain medical risk factors 6 months and over.	06/03/1984	Done	01/03/1984 15:00:19	Geneva, Switzerland	Verify
12 months	Measles, mumps and rubella (MMR) Meningococcal ACWY Pneumococcal vaccine (13vPCV)	Children in high-risk areas: Hepatitis A – 1st dose	01/09/1984	Done	31/08/1984 09:39:20	Geneva, Switzerland	Verify
18 months	Haemophilus influenza type B (Hib) Measles, mumps, rubella, chickenpox (MMRV)	Children in high-risk areas: Hepatitis A – 2nd dose	21/03/1985	Done	16/03/1985 13:01:22	Geneva, Switzerland	Verify
4 years	DTPa-IPV	(Diphtheria, tetanus, acellular pertussis (whooping cough) and inactivated polio) Children medically at-risk: Pneumococcal vaccine (23vPPV)	10/09/1987	Done	03/09/1987 14:53:49	Geneva, Switzerland	Verify
10-15 years	Human papilloma virus (HPV)	usually 2 doses	01/09/1993 - 01/09/1997	Done	27/12/1996 16:37:59	Geneva, Switzerland	Verify
15-49 years	Pneumococcal vaccine (23vPPV) Influenza – every year	People living in certain areas medically at risk	N/a	N/a	N/a	N/a	-
50 years	Tetanus-containing booster vaccine	(unless a booster given in previous 10 years)	Vary based on future conditions	Pending
50 years and over	Shingles (herpes zoster)	*Not currently funded on National Immunisation Program	Vary based on future conditions	Pending