Patient information

KAI HAAS

Simulated actor
Patient Demographic Supplier
Last modifier
marc quenouillere
Last modified date
10/29/21 4:16:06 PM (CEST GMT+0200)
First name
KAI (KAI)
Last name
HAAS
Mother's maiden name
Huber
Gender
Masculin
Date of Birth
5/17/93
Religion
Christian: Roman Catholic
Marital status
Identity Reliability Code
Validé

Home

Street address line
Schmalenbergham
Zip Code
5760
City
Saalfelden am Steinernen Meer
Country
AUT

Birth Delivery Location

Zip Code
6900
City
Stadt Bregenz
INSEE Code
99110
Country
AUT
Patient Identifiers
  • DDS-54253^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10656^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 193059911043031^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 193059911043031^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1740^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f6fea27b-3b38-4595-b0b5-c02a8fac45a6
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Clergé, religieux
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1993
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
  • 2021-10-29 16:16:12.673 - Patient has been created by mquenouillere
  • 2021-10-29 16:16:12.772 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by mquenouillere
Visit number
Patient status
Patient class
Last modified date
Action