Patient information

Laďka Matějíček

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
3/28/24 4:47:44 PM (CET GMT+0100)
First name
Laďka
Last name
Matějíček
Mother's maiden name
Fridrich
Gender
Female
Date of Birth
3/19/16
Marital status
Identity Reliability Code

Home

Street address line
Jeronýmova
Zip Code
73801
City
Frýdek-Místek
Country
CZE
Patient Identifiers
  • DDS-60440^^^DDS&1.3.6.1.4.1.12559.11.31.11&ISO (PI)
  • PAT4^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO (PI)
Email
Account number
AN4^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c0ea62fb-de77-4a5d-b31c-2be6ab973640
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2016
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
  • 2024-03-28 16:48:11.918 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action