Patient information

Honzíček Svačina

Simulated actor
Patient Demographic Supplier
Last modifier
Youn Cadoret
Last modified date
12/17/19 1:59:53 PM (CET GMT+0100)
First name
Honzíček
Last name
Svačina
Mother's maiden name
Táborský
Gender
Male
Date of Birth
10/12/04
Marital status
Identity Reliability Code

Home

Street address line
Řezníčkova
Zip Code
54701
City
Náchod
Country
CZE
Patient Identifiers
  • DDS-60441^^^DDS&1.3.6.1.4.1.12559.11.31.11&ISO (PI)
  • PAT5^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO (PI)
Email
Account number
AN5^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
88cc0a87-c314-4c45-9b16-aac93d770400
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2004
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
  • 2019-12-17 13:59:55.277 - Patient has been created by ycadoret
  • 2019-12-17 13:59:56.062 - Patient has been sent to SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message by ycadoret
Visit number
Patient status
Patient class
Last modified date
Action