Patient information

William Walter

Simulated actor
Patient Identity Source
Last modifier
Youn Cadoret
Last modified date
9/9/20 9:54:35 AM (CEST GMT+0200)
First name
William
Last name
Walter
Mother's maiden name
Emma Maria
Gender
Male
Date of Birth
7/13/92
Marital status
Living together
Identity Reliability Code

Home

Street address line
Great circle road
Zip Code
37027
City
Nashville
State
Tennessee
Patient Identifiers
  • DDS-65543^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8868^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3c68775e-3349-4868-a612-43151f39fa8d
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2020-09-09 09:54:50.243 - Patient has been created by ycadoret
  • 2020-09-09 09:54:50.257 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201302UV02 message by ycadoret
  • 2020-09-09 09:58:11.419 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201304UV02 message
  • 2020-09-09 09:58:44.911 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201304UV02 message
  • 2020-09-09 09:59:15.536 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201304UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN13587^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/19/21 9:12:44 AM (CET GMT+0100)