Patient information

DANIEL VICO20211112

Simulated actor
Patient Demographic Supplier
Last modifier
Daniel Nebot
Last modified date
11/12/21 11:51:06 AM (CET GMT+0100)
First name
DANIEL
Last name
VICO20211112
Mother's maiden name
Fernández
Gender
Unknown
Date of Birth
10/28/47
Marital status
Identity Reliability Code

Home

Street address line
Carrer del President Lluís Companys
Zip Code
17220
City
Sant Feliu de Guíxols
Country
ESP
Patient Identifiers
  • DDS-72748^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3209^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3209^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3209^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3209^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5719^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10709^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3dd25a05-e4a9-4160-b933-c470b9a205f8
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1947
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
  • 2021-11-12 11:51:23.147 - Patient has been created by DNebot
  • 2021-11-12 11:51:23.15 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A31^ADT_A05 message by DNebot
  • 2021-11-22 21:07:16.128 - Patient has been sent to SUT (FORTH_ICS DEMO_FORTH_ICS) within a ADT^A28^ADT_A05 message by kostoman
Visit number
Patient status
Patient class
Last modified date
Action