Patient information

LARS PETTERSSON

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/4/21 3:36:43 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

Home

Street address line
Behmbrogatan
Zip Code
61132
City
Nyköping
Country
SWE

Birth Delivery Location

Zip Code
151 72
City
Södertälje
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
4f71e20e-41f9-47fa-9d95-ff5e95024e70
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Professeurs, professions scientifiques
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1996
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 15:36:43.695 - Patient has been created
  • 2021-10-04 15:36:43.793 - 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