Patient information

Cd PamICS_DEMO

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/27/21 7:15:05 PM (CET GMT+0100)
First name
Cd
Last name
PamICS_DEMO
Gender
Male
Date of Birth
11/23/72
Marital status
Identity Reliability Code

Home

Street address line
Calle Luis Martínez González
Zip Code
30850
City
Totana
Country
ESP
Patient Identifiers
  • DDS-71781^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10738^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d4555b06-52d9-4a8b-a79c-2a34717a8241
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1972
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
  • 2021-11-27 19:15:05.696 - Patient has been created by kostoman
  • 2021-11-27 19:15:47.649 - Patient has been sent to SUT (FORTH_ICS DEMO_FORTH_ICS) within a ADT^A47^ADT_A30 message
  • 2021-11-27 19:26:47.665 - Patient has been sent to SUT (FORTH_ICS DEMO_FORTH_ICS) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action