Patient information

Lars Eriksson

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/16/21 12:34:26 PM (CEST GMT+0200)
First name
Lars
Last name
Eriksson
Mother's maiden name
Karlsson
Gender
Male
Date of Birth
3/19/11
Marital status
Identity Reliability Code

Home

Street address line
Kungshörnet
Zip Code
19558
City
Märsta
Country
SWE
Patient Identifiers
  • 5699^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
  • 1623836586184^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO
Email
Account number
AN10380^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cdf591f4-be28-44da-a435-ee8142a13b84
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2011
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 12:34:35.631 - Patient has been created
  • 2021-06-16 12:34:45.598 - 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
VN13558^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/16/21 12:52:50 PM (CET GMT+0100)