Patient information

Valdemar Kučera

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
9/7/20 11:58:40 AM (CEST GMT+0200)
First name
Valdemar
Last name
Kučera
Mother's maiden name
Novotný
Gender
Male
Date of Birth
9/5/80
Marital status
Identity Reliability Code

Home

Street address line
Pražská
Zip Code
39301
City
Pelhřimov
Country
CZE
Patient Identifiers
  • DDS-71058^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9536^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
6878df5d-9ae5-4bfe-b3ce-6886e854b77d
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1980
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
  • 2020-09-07 11:58:43.472 - Patient has been created
  • 2020-09-07 11:58:46.672 - 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
  • 2020-09-08 17:30:54.928 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201301UV02 message
  • 2021-11-24 10:12:03.945 - Patient has been merged with (FORTH ICS) within a ADT^A40^ADT_A39 message patient #13243 by petrakis
Visit number
Patient status
Patient class
Last modified date
Action
VN13594^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/24/21 10:10:05 AM (CET GMT+0100)
VN13595^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/24/21 10:10:29 AM (CET GMT+0100)