Patient information

美優 佐藤

Simulated actor
Patient Demographic Supplier
Last modifier
tony
Last modified date
12/19/19 2:34:33 PM (CET GMT+0100)
First name
美優
Last name
佐藤
Mother's maiden name
田中
Gender
Male
Date of Birth
12/5/11
Religion
Shintoist
Marital status
Identity Reliability Code

Home

Street address line
Mito-Katsuta-Nakaminato line
Zip Code
3120023
City
Hitachinaka
Country
JPN
Patient Identifiers
  • DDS-66023^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9130^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bc46d145-0c55-4d02-a72e-917c18887e11
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2011
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-12-19 14:34:37.603 - Patient has been created by tony
  • 2019-12-19 14:34:38.753 - Patient has been sent to SUT (GERA GERA) within a ADT^A28^ADT_A05 message by tony
Visit number
Patient status
Patient class
Last modified date
Action