Patient information

Peter21 Gruber21

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/3/19 11:45:15 AM (CEST GMT+0200)
First name
Peter21
Last name
Gruber21
Mother's maiden name
Ebner
Gender
Male
Date of Birth
5/5/93
Religion
Muslim
Marital status
Identity Reliability Code

Home

Street address line
Brixner Straße
Zip Code
6020
City
Innsbruck
Country
AUT
Patient Identifiers
  • DDS-65643^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8924^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1993
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-06-03 11:45:23.266 - Patient has been created
  • 2019-06-03 11:45:23.337 - 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_IN201302UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN9601^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/25/19 4:21:08 PM (CEST GMT+0200)