Patient information

Běta Štěpánek

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/16/20 12:33:46 PM (CEST GMT+0200)
First name
Běta
Last name
Štěpánek
Mother's maiden name
Urbánek
Gender
Féminin
Date of Birth
10/30/54
Marital status
Identity Reliability Code

Home

Street address line
Riegrova
Zip Code
56002
City
Česká Třebová
Country
CZE
Patient Identifiers
  • DDS-53810^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN1351^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cd270258-0dd5-4521-a1f2-597e7e449f53
Socio-professional occupation
Socio-professional group
Lunar Date
- -
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2020-10-16 12:33:46.29 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2020-10-16 12:33:46.295 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action