Patient information

Fabienne Fournier

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/23/21 4:28:40 PM (CEST GMT+0200)
First name
Fabienne
Last name
Fournier
Mother's maiden name
Floc'h
Gender
Féminin
Date of Birth
6/6/76
Marital status
Identity Reliability Code

Home

Street address line
Saxe - Gambetta
Zip Code
69003
City
Lyon
Country
FRA
Patient Identifiers
  • OXY-IPP-0006^^^MCK&1.2.250.1.255.10.200.1&L (PI)
Email
Account number
AN0006^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7527ee44-bbb4-4f88-898e-2f84d5a7a182
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1971
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
  • 2021-06-23 16:30:04.7 - Patient has been created
  • 2021-06-23 16:30:04.836 - 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