Patient information

Johanna Roelofse

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/5/21 4:44:35 PM (CEST GMT+0200)
First name
Johanna
Last name
Roelofse
Mother's maiden name
Shrantz
Gender
Féminin
Date of Birth
3/5/55
Marital status
Identity Reliability Code

Home

Street address line
Bergsingel
Zip Code
7411CN
City
Deventer
Country
NLD
Patient Identifiers
  • 10592^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1642^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cb4ba177-97f6-47d1-a295-e743df9521d4
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-05 16:44:35.734 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-05 16:44:35.735 - Patient has been created
  • 2021-08-05 16:48:28.235 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action
NumVisite2 ADMITTED R 9/13/22 12:58:47 PM (CEST GMT+0200)