Patient information

Saša Mika

Simulated actor
Patient Identity Source
Last modifier
aberge
Last modified date
10/4/18 3:37:09 PM (IST GMT+0100)
First name
Saša
Last name
Mika
Mother's maiden name
Šafařík
Gender
Female
Date of Birth
4/25/11
Marital status
Identity Reliability Code

Home

Street address line
Znojemská
Zip Code
586 01
City
Jihlava
Country
CZE
Patient Identifiers
  • DDS-79^^^DDS&1.3.6.1.4.1.12559.11.35.11&ISO (PI)
  • GZLPID7^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO (PI)
Email
Account number
GZLAN7^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d042c04d-2cc9-4375-830e-24c59b5e3882
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2011
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
Visit number
Patient status
Patient class
Last modified date
Action
10/4/18 3:37:13 PM (IST GMT+0100)
GZLVN2^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^VN ADMITTED I 10/4/18 3:37:14 PM (IST GMT+0100)