Patient information

Honzíček Šubrt

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_PAM_FR
Last modified date
5/16/24 10:56:33 AM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
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
f5140ca7-0fc0-4d9b-ab7f-72bea5c3a83a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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 10:56:33.5 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-05-16 10:56:33.501 - Patient has been created
  • 2024-05-16 11:03:59.949 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A40^ADT_A39 message
  • 2024-05-16 11:03:59.973 - Patient has been merged with patient #59472
Visit number
Patient status
Patient class
Last modified date
Action