Patient information

Damien Mathieu

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/12/21 11:04:51 AM (CEST GMT+0200)
First name
Damien
Last name
Mathieu
Mother's maiden name
Leroy
Gender
Masculin
Date of Birth
3/14/43
Marital status
Identity Reliability Code

Home

Street address line
Petit Chemin du Bel-Air
Zip Code
95110
City
Sannois
Country
FRA
Patient Identifiers
  • DDS-54049^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 1312646368177215708097^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
Email
Account number
AN1552^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
181a7f73-7a80-4385-a07e-2ce86154921b
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1943
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
  • 2021-07-12 11:04:51.496 - Patient has been created
  • 2021-07-12 11:05:20.422 - Patient has been changed Id patient #13551
  • 2021-07-12 11:06:02.636 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action