patient name structure The patient's last (family) name The patient's first (given) name The patient's middle name, if any Tag to hold the patients address The patient's home mailing or street address The patient's home city or township or residence The patient's home state, territory, or province, or District of Columbia, where the patient resides The patient's home ZIP code of residence The patient's home county or parish or residence The patient’s country of citizenship The patient's social security number The Patients Gender The patient's race as defined by the OMB (US Office of Management and Budget) The patient's ethnicity as defined by the OMB (US Office of Management and Budget) The patient's age (either calculated from date of birth or best approximation) The patient's age (either calculated from date of birth or best approximation) The unit used to define the patient's age The patients date of birth The patients home or primary telephone number The patients drivers license number The state that issued the drivers license The patients drivers license number