Patient information

Juan Domínguez

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
8/4/21 2:47:53 PM (CEST GMT+0200)
First name
Juan
Last name
Domínguez
Mother's maiden name
Ramírez
Gender
Male
Date of Birth
6/3/89
Marital status
Identity Reliability Code

Home

Street address line
Carrer del Doctor Fleming
Zip Code
08440
City
Cardedeu
Country
ESP
Patient Identifiers
  • DDS-72542^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10566^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
11db7dae-910e-47f2-b034-493ec6682085
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1989
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
  • 2021-08-04 14:48:43.429 - Patient has been created by m.trabace
  • 2021-08-04 14:48:49.397 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action