Patient information

inactive inaxctive

Simulated actor
Patient Demographic Supplier
Last modifier
jai shakti
Last modified date
2/24/21 3:37:34 PM (CET GMT+0100)
First name
inactive
Last name
inaxctive
Mother's maiden name
Pardo
Gender
Male
Date of Birth
9/6/05
Marital status
Identity Reliability Code

Home

Street address line
CV-7881
Zip Code
03801
City
Alcoi / Alcoy
Country
ESP
Patient Identifiers
  • DDS-71824^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10013^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
6cd50885-1b92-441a-abf5-576018e607cb
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2005
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
  • 2021-02-24 15:37:48.829 - Patient has been created by jai shakti
  • 2021-02-24 15:37:49.018 - Patient has been sent to SUT (IBE Philips) within a ADT^A28^ADT_A05 message by jai shakti
Visit number
Patient status
Patient class
Last modified date
Action