Patient information

Juan Munoz

Simulated actor
Patient Demographic Supplier
Last modifier
Georgios Kavlentakis
Last modified date
4/23/24 11:38:57 AM (CEST GMT+0200)
First name
Juan
Last name
Munoz
Mother's maiden name
García
Gender
Male
Date of Birth
1/14/13
Marital status
Identity Reliability Code

Home

Street address line
Camino Huerta de los Frailes
Zip Code
14550
City
Montilla
Country
ESP
Patient Identifiers
  • IHEBLUE-3320^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3320^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3320^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3320^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5816^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN11907^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0d226f52-106f-4406-a02a-986082f5b50d
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2013
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
  • 2024-04-23 11:39:30.154 - Patient has been created by gkab
  • 2024-04-23 11:39:31.426 - Patient has been sent to SUT (FORTH EHR_FORTH_ICS_2) within a ADT^A28^ADT_A05 message by gkab
Visit number
Patient status
Patient class
Last modified date
Action