Patient information

Jubos tartanpion

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/30/19 3:22:47 PM (CET GMT+0100)
First name
Jubos
Last name
tartanpion
Mother's maiden name
李
Gender
Unknown
Date of Birth
10/15/90
Marital status
Divorced
Identity Reliability Code

Home

Street address line
Zhongzheng Road
Zip Code
970
City
Hualien City
Country
TWN
Patient Identifiers
  • A101010^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9209^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5ba4a380-4163-4074-929d-15ac54639bba
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1990
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
  • 2019-12-30 15:22:47.776 - Patient has been created by julien
  • 2019-12-30 17:23:57.392 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action