Patient information

Regi Novotný

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
8/3/21 2:53:59 PM (CEST GMT+0200)
First name
Regi
Last name
Novotný
Mother's maiden name
Horák
Gender
Female
Date of Birth
7/3/02
Marital status
Identity Reliability Code

Home

Street address line
Národních hrdinů
Zip Code
69002
City
Břeclav
Country
CZE
Patient Identifiers
  • DDS-72538^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10562^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
38e7ac64-3275-4a01-8678-c4c751a18604
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2002
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
  • 2021-08-03 14:54:00.685 - Patient has been created by m.trabace
  • 2021-08-03 14:54:06.003 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action