Patient information

DANI PROVA20211112

Simulated actor
Patient Demographic Supplier
Last modifier
Daniel Nebot
Last modified date
11/12/21 12:04:22 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
2c96a396-3d81-4545-92c5-59623654310a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2012
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 12:04:36.046 - Patient has been created by DNebot
  • 2021-11-12 12:04:36.089 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message by DNebot
Visit number
Patient status
Patient class
Last modified date
Action