Patient information

Valdemar Kučera

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
9/7/20 11:58:40 AM (CEST GMT+0200)
First name
Valdemar
Last name
Kučera
Mother's maiden name
Novotný
Gender
Male
Date of Birth
9/5/80
Marital status
Identity Reliability Code

Home

Street address line
Pražská
Zip Code
39301
City
Pelhřimov
Country
CZE
Patient Identifiers
  • DDS-71058^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9536^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
6878df5d-9ae5-4bfe-b3ce-6886e854b77d
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1980
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2020-09-07 11:58:43.472 - Patient has been created
  • 2020-09-07 11:58:46.672 - 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
  • 2020-09-08 17:30:54.928 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.20.1.17 1.3.6.1.4.1.12559.11.20.1.17) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action