Patient information

LUNETE FOURNIER

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/11/22 3:56:48 PM (CEST GMT+0200)
First name
LUNETE (LUNETE)
Last name
FOURNIER
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
6/7/80
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue des Portaniers
Zip Code
83170
City
Brignoles
Country
FRA

Birth Delivery Location

Zip Code
75004
City
Paris
INSEE Code
75056
Country
FRA
Patient Identifiers
  • 0298480008160740054956^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54450^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10765^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 280067505643485^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 280067505643485^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1927^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
88475030-e86a-4111-9e0a-350c4ad23def
Socio-professional occupation
Ouvriers
Socio-professional group
Cadres administratifs et commerciaux d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1980
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
  • 2022-10-11 15:57:06.116 - Patient has been created
  • 2022-10-11 15:57:06.331 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action