Patient information

Honzíček Šubrt

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
5/16/24 10:56:29 AM (CEST GMT+0200)
First name
Honzíček (Honzíček)
Last name
Šubrt
Mother's maiden name
Tesař
Gender
Masculin
Date of Birth
5/10/72
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Kmochova
Zip Code
407 47
City
Varnsdorf
Country
CZE
Patient Identifiers
  • DDS-55110^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
Email
Account number
AN2525^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
63994072-84d0-4002-ae2e-6ef09b0886d3
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Elèves, étudiants
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1972
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
  • 2024-05-16 10:56:33.453 - Patient has been created
  • 2024-05-16 10:56:33.531 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action