Personal data
- Name
- Elsa Humpel von alle Daten
- Date of birth
- March 14, 2020
- Address
- Blood type
- B +
- Insurance company name
- AOK
- Insurance number
- 662718392
- Employers' liability insurance association
- Landesunfallkasse Niedersachsen (LUKN)
Diagnoses
| T78.2 | Anaphylaktischer Schock, nicht näher bezeichnet |
|---|
| ICD | Diagnosis |
|---|---|
| T78.2 | Anaphylaktischer Schock, nicht näher bezeichnet |
Medication
| PZN or GTIN | 03680917 |
|---|---|
| Vendor | Viatris Healthcare Gmb |
| Drug | FASTJEKT Autoinjektor |
| Ingestion amount | As needed |
| Ingestion unit | PEN |
| PZN-Code | Vendor | Drug | Ingestion amount | Ingestion unit |
|---|---|---|---|---|
| 03680917 | Viatris Healthcare Gmb | FASTJEKT Autoinjektor | As needed | PEN |
Emergency contacts
| Name | Wolfgang Retter (Vater) |
|---|---|
| Date of birth | 13.06.1989 |
| Phone number | +491711511660 |
| testpatient@rettungsladen.de |
| Name | Lisa Retter (Mutter) |
|---|---|
| Date of birth | 09.07.1985 |
| Phone number | +4915167348909 |
| testpatient@rettungsladen.de |
| Name | Date of birth | Phone number | |
|---|---|---|---|
| Wolfgang Retter (Vater) | 13.06.1989 | +491711511660 | testpatient@rettungsladen.de |
| Lisa Retter (Mutter) | 09.07.1985 | +4915167348909 | testpatient@rettungsladen.de |