Patient information

CHARLOTTE ANDERSEN 

Simulated actor
Patient Demographic Supplier
Last modifier
marc quenouillere
Last modified date
10/29/21 4:39:43 PM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
CHARLOTTE (CHARLOTTE)
Last name
ANDERSEN 
Mother's maiden name
Andersen
Gender
Féminin
Date of Birth
5/29/91
Marital status
Identity Reliability Code
Validé

Home

Street address line
Søvej
Zip Code
3520
City
Farum
Country
DNK

Birth Delivery Location

Zip Code
3000
City
Elsinore
INSEE Code
99101
Country
DNK
Patient Identifiers
  • 2905915226^^^DK&1.2.208.176.1.2&ISO (NH)
  • DDS-54254^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10657^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 291059910101882^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 291059910101882^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1741^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f566ff3f-4be2-4c00-b358-14f514d3596c
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Ouvriers qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1991
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
  • 2021-10-29 16:39:49.157 - Patient has been created by mquenouillere
  • 2021-10-29 16:39:49.238 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by mquenouillere
  • 2022-06-08 17:51:32.815 - Patient has been merged with patient #14058
Visit number
Patient status
Patient class
Last modified date
Action