Patient information

chpf0624 chpl0624

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/24/22 10:34:32 AM (CEST GMT+0200)
First name
chpf0624
Last name
chpl0624
Mother's maiden name
chpm0624
Gender
Male
Date of Birth
6/20/03
Religion
Christian: Roman Catholic
Marital status
Annulled
Identity Reliability Code

Home

Street address line
Klosterstraße
Zip Code
3300
City
Amstetten
INSEE Code
哈哈哈
State
乔家大院
Country
AUT
Patient Identifiers
  • DDS-73112^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Primary Residence Number
1234567890
Account number
ID12345^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e2767c6a-e618-4f1a-885b-4a15b71c3c75
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2003
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
Visit number
Patient status
Patient class
Last modified date
Action
VN14134^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/24/22 5:45:04 AM (CEST GMT+0200)