Patient information

Marita OTHER_FLUINT_2025

Simulated actor
Patient Demographic Supplier
Last modifier
Thorsten Conrad
Last modified date
5/7/25 1:13:50 PM (CEST GMT+0200)
First name
Marita
Last name
OTHER_FLUINT_2025
Mother's maiden name
Schmidt
Gender
Female
Date of Birth
1976/07/29
Marital status
Identity Reliability Code

Home

Street address line
Steinhof
Zip Code
40699
City
Erkrath
Country
DEU
Patient Identifiers
  • DDS-75451^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN12288^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9ed0f074-cf06-4d4d-bdc4-342129f89dd1
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1976
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
  • 2025-05-07 13:13:59.505 - Patient has been created by 0bc20191-7b3e-421a-93af-ec4525aa9456
  • 2025-05-07 13:13:59.609 - Patient has been sent to SUT (OTHER_FLUINT_2025 CUBE) within a ADT^A28^ADT_A05 message by 0bc20191-7b3e-421a-93af-ec4525aa9456
  • 2025-05-07 13:18:45.978 - Patient has been sent to SUT (OTHER_FLUINT_2025 CUBE) within a ADT^A28^ADT_A05 message by 0bc20191-7b3e-421a-93af-ec4525aa9456
Visit number
Patient status
Patient class
Last modified date
Action
Patient's PHR status
Status collection date
Closing date
Information et opposition à l'alimentation
Date de recueil de l'information et opposition à l'alimentation
Information et consentement à la consultation du DMP
Date de recueil de l'information et consentement à la consultation