Patient information

FARNSWORTH STEVE

Simulated actor
Patient Demographic Consumer
Last modifier
ITI_PAM_PDS_HMIS
Last modified date
11/1/20 12:56:19 PM (CET GMT+0100)
First name
FARNSWORTH
Last name
STEVE
Mother's maiden name
MOM
Gender
Male
Date of Birth
11/1/20
Religion
Christian
Marital status
Identity Reliability Code

Home

Street address line
1234
Zip Code
1234
City
SDF
State
DFFG
Country
USA
Patient Identifiers
  • HMIS-193041^^^HMIS&1.3.6.1.4.1.21367.13.20.260&ISO (PI)
Email
Account number
AN193041^^^HMIS&1.3.6.1.4.1.21367.13.20.260&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
735b1880-b795-4986-a052-cb07a33849fd
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2020-11-01 12:56:19.271 - Patient has been received from SUT (HMIS ITI_PAM_PDS) within a ADT^A28^ADT_A05 message
  • 2020-11-01 12:56:19.273 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action