Patient information

Lars Nilsson

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
4/29/19 4:28:15 PM (CEST GMT+0200)
First name
Lars
Last name
Nilsson
Mother's maiden name
Hansson
Gender
M
Date of Birth
12/10/37
Marital status
Identity Reliability Code

Home

Street address line
Ängsvägen
Zip Code
19147
City
Sollentuna
Country
SWE
Patient Identifiers
  • DDS-65548^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8872^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4593ebcd-d6a9-40cc-82aa-41dd370f7f76
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1937
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi

GRC

Name
Teest Test TEsxtd
Identifier
46456
Role
C
Patient history
  • 2019-04-29 16:30:44.275 - Patient has been created
  • 2019-04-29 16:30:48.063 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
111111111 ADMITTED D 6/27/22 11:39:44 AM (CEST GMT+0200)