Patient information

ANETKA SAFRANEK

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/16/23 5:45:35 PM (CET GMT+0100)
First name
ANETKA (ANETKA)
Last name
SAFRANEK
Mother's maiden name
Baláž
Gender
Féminin
Date of Birth
9/2/99
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Luční
Zip Code
301 00
City
Plzeň
Country
CZE

Birth Delivery Location

Zip Code
250 01
City
Brandýs nad Labem-Stará Boleslav
INSEE Code
99116
Country
CZE
Patient Identifiers
  • DDS-54552^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10827^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2029^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9b1c42df-3543-4a9d-829a-518b6f0218c8
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Agriculteurs sur petite exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1999
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
  • 2023-01-16 17:45:35.124 - Patient has been created by andy.pilate
  • 2023-01-16 17:45:35.339 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action