Patient information

LARS PETTERSSON

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/4/21 3:35:08 PM (CEST GMT+0200)
First name
LARS (LARS)
Last name
PETTERSSON
Mother's maiden name
Andersson
Gender
Masculin
Date of Birth
9/21/96
Marital status
Identity Reliability Code
Validé

Address

Street address line
Behmbrogatan
Zip Code
61132
City
Nyköping
Country
SWE

Address

Zip Code
151 72
City
Södertälje
Country
SWE

Birth Delivery Location

INSEE Code
99104
Country
SWE
Patient Identifiers
  • DDS-54210^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10637^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 196099910427886^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 196099910427886^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1704^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8fe2d309-8525-4042-9a75-6eefc3a1e3c8
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
  • 2021-10-04 15:35:08.128 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-04 15:35:08.13 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
VN2749^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 12/13/21 2:34:58 PM (CET GMT+0100)