Patient information

Charlotteuh Petersen 

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/14/24 5:43:26 PM (CET GMT+0100)
First name
Charlotteuh
Last name
Petersen 
Mother's maiden name
Knudsen 
Gender
Female
Date of Birth
2/8/06
Marital status
Identity Reliability Code

Home

Street address line
Høppners Gård
Zip Code
6100
City
Haderslev
Country
DNK
Patient Identifiers
  • 0802069466^^^DK&1.2.208.176.1.2&ISO (NH)
  • DDS-74504^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11878^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3d2c7ac5-45af-4d37-a611-b121c35d1141
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2006
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
  • 2024-02-14 17:43:46.981 - Patient has been created
  • 2024-02-14 17:43:47.083 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action