Patient information

chpf0624-3 chpl0624-3

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/24/22 7:26:33 AM (CEST GMT+0200)
First name
chpf0624-3
Last name
chpl0624-3
Mother's maiden name
chpm0624
Gender
Female
Date of Birth
5/24/59
Marital status
Annulled
Identity Reliability Code

Home

Street address line
Oerweg
Zip Code
45657
City
Recklinghausen
Country
DEU
Patient Identifiers
  • DDS-73116^^^WWW&12.123&ISO (PI)
Email
Primary Residence Number
1234567890
Account number
AN11045^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9f0f2d17-5f13-4d90-800d-db0c4ff1ed14
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1959
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
VN14138^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/24/22 7:29:13 AM (CEST GMT+0200)