Patient information

菲 陈

Simulated actor
Patient Identity Source
Last modifier
Gasper Andrejc
Last modified date
9/8/23 10:58:14 PM (CEST GMT+0200)
First name
Last name
Mother's maiden name
Miiiden
Gender
Female
Date of Birth
4/5/60
Religion
Atheist
Marital status
Identity Reliability Code

Home

Street address line
振兴路
City
Yiyuan County
Country
CHN
Patient Identifiers
  • DDS-73989^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Primary Residence Number
558-998-888
Account number
AN11640^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8dfffc98-f593-4fe0-bcbb-4c77586e33c4
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1960
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
  • 2023-09-08 22:58:44.851 - Patient has been created by gandrejc_ol
  • 2023-09-08 22:58:46.59 - Patient has been sent to SUT (1.3.6.1.4.1.22390.1337.0.3.1 1.3.6.1.4.1.22390.1337.0.3.1) within a PRPA_IN201301UV02 message by gandrejc_ol
Visit number
Patient status
Patient class
Last modified date
Action