Patient information

A01 PAT_IDENTITY_SRC_20161017

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
10/17/16 11:59:19 AM (CEST GMT+0200)
First name
A01
Last name
PAT_IDENTITY_SRC_20161017
Mother's maiden name
Liegeois
Gender
Inconnu
Date of Birth
2/5/98
Marital status
Identity Reliability Code

Home

Street address line
Rue des États-Unis
Zip Code
57950
City
Montigny-lès-Metz
Country
FRA
Patient Identifiers
  • 04902135213469094354 35^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52672^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN403^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
433a00ba-db6c-4712-ac1c-7d7136eafed6
Socio-professional occupation
Employés
Socio-professional group
Ouvriers agricoles
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1998
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
  • 2016-10-17 12:03:43.465 - Patient has been merged with (PAM_FR DxShareIT.MPI) within a ADT^A40^ADT_A39 message patient #10681
Visit number
Patient status
Patient class
Last modified date
Action
VN361^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN I 10/17/16 11:23:54 AM (CEST GMT+0200)
VN361^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN REGISTERED I 3/27/18 2:38:39 PM (CEST GMT+0200)
VN366^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN O 10/17/16 12:02:13 PM (CEST GMT+0200)
VN366^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED O 10/17/16 12:02:13 PM (CEST GMT+0200)