Patient information

CHARLOTTE HANSEN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/4/21 4:40:34 PM (CEST GMT+0200)
First name
CHARLOTTE (CHARLOTTE)
Last name
HANSEN
Mother's maiden name
Andersen
Gender
Féminin
Date of Birth
3/31/83
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Dronningensvej
Zip Code
5800
City
Nyborg
Country
DNK

Birth Delivery Location

Zip Code
5700
City
Svendborg
INSEE Code
99101
Country
DNK
Patient Identifiers
  • 3103833888^^^DK&1.2.208.176.1.2&ISO (NH)
  • DDS-54207^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10635^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1702^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7ed6836f-f7da-40c6-94cb-c689595f30a2
Socio-professional occupation
Employés
Socio-professional group
Agriculteurs sur grande exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1983
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
  • 2021-10-04 16:40:34.349 - Patient has been created by NicolasBailliet
  • 2021-10-04 16:40:41.795 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action