Patient information

Nashmia Amari

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
8/6/20 1:16:56 PM (CEST GMT+0200)
First name
Nashmia
Second Name
Sec
Third Name
Thi
Last name
Amari
Mother's maiden name
Salib
Gender
Female
Date of Birth
9/16/92
Marital status
Single
Identity Reliability Code

Home

Street address line
Street
Zip Code
123465
City
City
State
State
Country
SAU

Bad address

Street address line
Street Birth
Zip Code
123456
City
City
State
State
Country
DE
Patient Identifiers
  • DDS-70937^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
test@test.de
Primary Residence Number
0123456789
Work Number
123456798
Account number
AN9455^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Birth Place
UUID
cd835ce3-8b81-4936-87d5-6de1bb57c3b6
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1992
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi

Child

Name
Child Emergency Contact
Identifier
15641564654654
Role
Emergency contact
Patient history
  • 2020-08-06 13:19:44.698 - Patient has been created
  • 2020-08-06 13:19:49.127 - 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
Visit number
Patient status
Patient class
Last modified date
Action
VN13622^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 1/9/22 11:01:32 AM (CET GMT+0100)