Patient information

Phillipp Schmidt

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/16/21 9:42:29 AM (CEST GMT+0200)
First name
Phillipp
Last name
Schmidt
Mother's maiden name
Schneider
Gender
Male
Date of Birth
1/30/42
Marital status
Identity Reliability Code

Home

Street address line
Bismarckstraße
Zip Code
66333
City
Völklingen
Country
DEU
Patient Identifiers
  • DDS-72357^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10377^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cdfecdc0-79e0-4d9b-b091-202efbceac9e
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1942
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
  • 2021-06-16 09:42:34.819 - Patient has been created
  • 2021-06-16 09:42:44.355 - Patient has been sent to SUT (1.3.6.1.4.1.21367.2011.2.7.5656 1.3.6.1.4.1.21367.2011.2.4.630) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN13568^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/17/21 10:00:55 AM (CET GMT+0100)