Patient information

XYZMedicalPM MARIONPM

Simulated actor
Patient Identity Source
Last modifier
Ioannis Petrakis
Last modified date
5/27/22 12:05:13 PM (CEST GMT+0200)
First name
XYZMedicalPM
Last name
MARIONPM
Mother's maiden name
鈴木
Gender
Female
Date of Birth
12/8/82
Religion
Buddhis
Marital status
Identity Reliability Code

Home

Street address line
南大通り
Zip Code
322-0065
City
Kanuma
Country
JPN
Patient Identifiers
  • DDS-72944^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10873^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
214f4e19-1387-47b4-b2e1-146db7c2b3dc
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1984
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
  • 2022-05-27 12:36:11.246 - Patient has been merged with (FORTH ICS) within a ADT^A40^ADT_A39 message patient #15474 by petrakis
Visit number
Patient status
Patient class
Last modified date
Action
VN13935^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/27/22 11:50:45 AM (CEST GMT+0200)
VN13936^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/27/22 11:53:40 AM (CEST GMT+0200)