Patient information

Annelise Black

Simulated actor
Connectathon
Last modifier
Steve Moore
Last modified date
5/17/21 10:04:24 PM (CEST GMT+0200)
First name
Annelise
Last name
Black
Mother's maiden name
Leroy
Gender
Female
Date of Birth
6/1/88
Marital status
Identity Reliability Code

Home

Street address line
Rue des Maisons Neuves
Zip Code
91700
City
Sainte-Geneviève-des-Bois
Country
FRA
Patient Identifiers
  • IHEBLUE-3160^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3160^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3160^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3160^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5678^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
  • EUR01P0002^^^TRILLLIUMBRIDGE&1.3.6.1.4.1.21367.13.20.4000&ISO^PI (PI)
Email
Account number
AN10189^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1f888619-0bc8-4156-8ebc-4ef1ce95fc51
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2018
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
  • 2022-09-15 12:54:00.941 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-15 15:38:50.323 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-15 17:46:39.228 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 09:26:35.54 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 09:43:24.585 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 09:43:51.66 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 09:48:00.768 - Patient has been sent to SUT (ENOVACOM ENOVACOM) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 10:15:59.016 - Patient has been sent to SUT (Enovacom Enovacom) within a ADT^A28^ADT_A05 message by moores
  • 2022-09-16 10:34:13.768 - Patient has been sent to SUT (Enovacom Enovacom) within a ADT^A28^ADT_A05 message by moores
  • 2023-06-06 08:28:33.463 - Patient has been sent to SUT (yhpt Yinhai) within a ADT^A28^ADT_A05 message by moores
  • 2023-06-20 03:54:42.951 - Patient has been sent to SUT (yhpt Yinhai) within a ADT^A28^ADT_A05 message by moores
  • 2023-06-26 08:33:29.633 - Patient has been sent to SUT (yhpt Yinhai) within a ADT^A28^ADT_A05 message by moores
  • 2023-07-19 10:27:19.047 - Patient has been sent to SUT (Yinhai YHPT) within a ADT^A28^ADT_A05 message by moores
  • 2023-07-26 03:26:14.267 - Patient has been sent to SUT (Yinhai YHPT) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-07 12:06:48.247 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-07 12:17:50.518 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-07 12:22:51.546 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:13:25.918 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:15:39.116 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:16:15.957 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:17:28.729 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:17:50.702 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-25 17:20:55.046 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-26 10:43:30.504 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
  • 2023-09-26 10:43:31.554 - Patient has been sent to SUT (EPC EPC) within a ADT^A28^ADT_A05 message by moores
Visit number
Patient status
Patient class
Last modified date
Action
VN12799^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED S 5/25/21 8:25:03 AM (CEST GMT+0200)