Patient information

Jarmil Kučera

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/12/21 11:59:57 AM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
Jarmil
Last name
Kučera
Mother's maiden name
Dvořák
Gender
Male
Date of Birth
7/4/20
Marital status
Identity Reliability Code

Home

Street address line
Zátiší
Zip Code
43111
City
Jirkov
Country
CZE
Patient Identifiers
  • DDS-72065^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Primary Residence Number
4534534535
Account number
AN10147^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5390b950-2220-4bf1-abfa-aa0c3079b098
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2020
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12779^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/21/21 5:44:08 PM (CEST GMT+0200)
VN12907^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 6/4/21 10:40:12 AM (CEST GMT+0200)