Patient information

Jarmil Kučera

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/12/21 11:59:57 AM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
Jarmil
Last name
Kučera
Mother's maiden name
Dvořák
Gender
Male
Date of Birth
7/4/20
Marital status
Identity Reliability Code

Home

Street address line
Zátiší
Zip Code
43111
City
Jirkov
Country
CZE
Patient Identifiers
  • DDS-72065^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Primary Residence Number
4534534535
Account number
AN10147^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5390b950-2220-4bf1-abfa-aa0c3079b098
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2020
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12779^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/21/21 5:44:08 PM (CEST GMT+0200)
VN12907^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 6/4/21 10:40:12 AM (CEST GMT+0200)