Patient information

Maro Musil

Simulated actor
Patient Identity Source
Last modifier
Florian Wermelskirchen
Last modified date
6/15/21 2:30:17 PM (CEST GMT+0200)
First name
Maro
Last name
Musil
Mother's maiden name
Kučera
Gender
Male
Date of Birth
5/19/43
Marital status
Identity Reliability Code

Home

Street address line
Hradební
Zip Code
54401
City
Dvůr Králové nad Labem
Country
CZE
Patient Identifiers
  • DDS-72349^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10369^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
26668705-9ea4-453b-9da6-9403c3365836
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1943
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
  • 2021-06-15 14:31:25.871 - Patient has been merged with (eitco_ecr eitco_ecr) within a ADT^A40^ADT_A39 message patient #14831
  • 2021-06-15 14:31:25.876 - Patient has been merged with (eitco_ecr eitco_ecr) within a ADT^A40^ADT_A39 message patient #14831 by fwermelskirchen
  • 2021-06-15 14:44:46.134 - Patient has been merged with (eitco_ecr eitco_ecr) within a ADT^A40^ADT_A39 message patient #14802 by fwermelskirchen
Visit number
Patient status
Patient class
Last modified date
Action
VN13540^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/11/21 9:50:04 AM (CET GMT+0100)