Patient information

Theodor Alt

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/9/19 3:47:44 PM (CEST GMT+0200)
This patient is dead on 5/6/19 12:00:00 PM (CEST GMT+0200)
First name
Theodor
Last name
Alt
Mother's maiden name
Chiaravalloti
Gender
Male
Date of Birth
10/9/67
Marital status
Married
Identity Reliability Code
Deceased date/time
5/6/19 12:00:00 PM (CEST GMT+0200)

Home

Street address line
Neusetzstrasse
Zip Code
4132
City
Muttenz
Country
CHE
Patient Identifiers
  • DDS-65601^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
jp@exemple.com
Primary Residence Number
+41797776644
Account number
AN8905^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Incognito
Birth Place Name
Vientiane
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1967
Number of weeks of gestation
SMS Consent
No

Spouse

Name
Woman Name
Identifier
invalidId
Role
Patient history
  • 2019-05-09 15:50:26.087 - Patient has been created
  • 2019-05-09 15:50:30.204 - 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