Patient information

DANI PROVA20211112

Simulated actor
Patient Demographic Consumer
Last modifier
PAMSimulator_IHE
Last modified date
11/12/21 12:04:36 PM (CET GMT+0100)
First name
DANI
Last name
PROVA20211112
Mother's maiden name
Pérez
Gender
Unknown
Date of Birth
10/30/12
Marital status
Identity Reliability Code

Home

Street address line
CO-6217
Zip Code
14960
City
Cabra
Country
ESP
Patient Identifiers
  • 5720^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10710^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
31836ef4-877b-4c1e-bc36-57bcece2eb39
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-11-12 12:04:36.071 - Patient has been received from SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
  • 2021-11-12 12:04:36.072 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
VN13553^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ENCOUNTER CANCELLED I 11/12/21 12:08:10 PM (CET GMT+0100)
VN13554^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED E 11/12/21 12:14:27 PM (CET GMT+0100)