Patient information

CHARLOTTE HANSEN

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/4/21 4:40:41 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
Validé

Address

Street address line
Dronningensvej
Zip Code
5800
City
Nyborg
Country
DNK

Address

Zip Code
5700
City
Svendborg
Country
DNK

Birth Delivery Location

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
46efa3b7-30fd-4491-8287-2d6a35acbc98
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 16:40:41.735 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action