Patient information

DANI PROVA20211112

Simulated actor
Patient Encounter Consumer
Last modifier
PAMSimulator_IHE
Last modified date
11/12/21 12:08:10 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
0c19a72f-df6d-43e8-9928-e63305a34ec4
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
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)