Patient information

Lars Nilsson

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
4/29/19 4:28:15 PM (CEST GMT+0200)
First name
Lars
Last name
Nilsson
Mother's maiden name
Hansson
Gender
Male
Date of Birth
12/10/37
Marital status
Identity Reliability Code

Home

Street address line
Ängsvägen
Zip Code
19147
City
Sollentuna
Country
SWE
Patient Identifiers
  • DDS-65548^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8872^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4593ebcd-d6a9-40cc-82aa-41dd370f7f76
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1937
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi

Guardian

Name
Teest Test TEsxtd
Identifier
46456
Role
Emergency contact
Patient history
  • 2019-04-29 16:30:44.275 - Patient has been created
  • 2019-04-29 16:30:48.063 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
111111111 ADMITTED D 6/27/22 11:39:44 AM (CEST GMT+0200)