Patient information

Janoś Dvořák

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
8/22/20 6:32:49 AM (CEST GMT+0200)
First name
Janoś
Last name
Dvořák
Mother's maiden name
Černý
Gender
M
Date of Birth
5/23/45
Marital status
Identity Reliability Code

Home

Country
CZE
Patient Identifiers
  • DDS-70976^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9491^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
6eb138b6-fecf-4e9f-94f3-ca9d34610943
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1945
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi

BRO

Name
First name Middle name Last name
Identifier
Identifier
Role
C
Patient history
  • 2020-08-22 06:33:25.228 - Patient has been created
  • 2020-08-22 06:33:26.106 - Patient has been sent to SUT (ALLSCRIPTS PAT_IDENTITY_X_REF_M) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
VN13618^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 1/7/22 2:31:39 PM (CET GMT+0100)