Patient information

Raymond Moreau

Simulated actor
Patient Demographic Supplier
Last modifier
Anne-Gaëlle Bergé
Last modified date
6/25/21 3:23:20 PM (CEST GMT+0200)
First name
Raymond
Last name
Moreau
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
12/23/66
Marital status
Identity Reliability Code

Home

Street address line
Boulevard Circulaire Est
Zip Code
94550
City
Chevilly-Larue
Country
FRA
Patient Identifiers
  • 0738145978743257209820^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54043^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1547^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d549f40e-2bb3-44fd-be74-2376bfab2bf2
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1966
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
  • 2021-06-25 15:23:58.692 - Patient has been created by aberge
  • 2021-06-25 15:23:58.812 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by aberge
Visit number
Patient status
Patient class
Last modified date
Action