Patient information

José Gómez

Simulated actor
Patient Demographic Supplier
Last modifier
Henri Cazottes
Last modified date
9/26/23 11:06:44 AM (CEST GMT+0200)
First name
José
Last name
Gómez
Mother's maiden name
García
Gender
Male
Date of Birth
4/3/58
Marital status
Identity Reliability Code

Home

Street address line
Avenida Martinez Catena
Zip Code
51001
City
Ceuta
Country
ESP
Patient Identifiers
  • DDS-74190^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11795^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ef59ea2a-ddba-4a74-910e-5d7d17b55456
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1958
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
  • 2023-09-26 11:06:56.279 - Patient has been created by hcazottes
  • 2023-09-26 11:06:56.352 - Patient has been sent to SUT (OTHER_Lifen_Platform Lifen) within a ADT^A28^ADT_A05 message by hcazottes
Visit number
Patient status
Patient class
Last modified date
Action