Patient information

LORA SCHMIDT

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/27/23 4:31:05 PM (CET GMT+0100)
First name
LORA (LORA)
Last name
SCHMIDT
Mother's maiden name
Fischer
Gender
Féminin
Date of Birth
2/17/64
Marital status
Identity Reliability Code
Validé

Home

Street address line
Wiesenstraße
Zip Code
76344
City
Leopoldshafen
Country
DEU

Birth Delivery Location

Zip Code
42287
City
Wuppertal
INSEE Code
99109
Country
DEU
Patient Identifiers
  • DDS-54562^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10836^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 264029910983509^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 264029910983509^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2039^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d4c54016-783e-4625-8d86-f014daa6eba1
Socio-professional occupation
Employés
Socio-professional group
Chauffeurs
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1964
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
  • 2023-01-27 16:31:05.467 - Patient has been created by ykouadio
  • 2023-01-27 16:31:06.666 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action