Patient information

Manuel Pérez

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
8/19/20 11:06:31 AM (CEST GMT+0200)
This patient is dead on 8/11/20 12:00:00 PM (CEST GMT+0200)
First name
Manuel (Alt F)
Second Name
S (ALT S)
Third Name
T (ALT T)
Last name
Pérez (ALT L)
Mother's maiden name
Alonso (Alt Maiden)
Gender
Male
Date of Birth
5/3/68
Marital status
Divorced
Identity Reliability Code
Deceased date/time
8/11/20 12:00:00 PM (CEST GMT+0200)

Home

Street address line
Carrer Font de la Salut
Zip Code
46400
City
Cullera
Country
ESP

Birth Delivery Location

Patient Identifiers
  • DDS-70964^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
test@test.de
Vacation Home Number
0123456789
Work Number
456789123
Account number
AN9479^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Public
Birth Place Name
Jooooo
UUID
ea6adbdf-169e-4173-b211-757819ca3d02
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1968
Number of weeks of gestation
SMS Consent
No

Emergency contact

Name
First Middle Last
Identifier
0123456789
Role
Next-of-Kin
Patient history
  • 2020-08-19 11:09:32.04 - Patient has been created
  • 2020-08-19 11:09:35.658 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action