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
F
Date of Birth
9/2/99
Marital status
Identity Reliability Code
VIDE

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
1
Socio-professional group
11
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