Patient information

少芳 孙

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
10/28/21 2:28:11 PM (CEST GMT+0200)
First name
少芳
Last name
孙
Mother's maiden name
刘
Gender
Female
Date of Birth
2/22/85
Religion
Atheist
Marital status
Identity Reliability Code

Home

Street address line
和平路
Zip Code
130000
City
Dehui City
Country
CHN
Patient Identifiers
  • DDS-72699^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10666^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8c67c20c-284f-4b10-b9a3-7b304ab128fe
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1985
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
  • 2021-10-28 14:28:13.277 - Patient has been created by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action