Patient information

PRNAISDUPATIENT NNAISDUPATIENT

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/23/24 3:44:19 PM (CEST GMT+0200)
First name
PRNAISDUPATIENT (PRUTDUPATIENT)
Second Name
PRENAISDUPATIENT PIERRE JACQUES
Last name
NNAISDUPATIENT
Mother's maiden name
NUTDUPATIENT
Gender
Féminin
Date of Birth
9/23/74
Marital status
Concubin
Identity Reliability Code
Provisoire

Home

Street address line
Rue de Glasgow
Zip Code
29200
City
Brest
Country
FRA

Birth Delivery Location

Zip Code
21000
City
Dijon
INSEE Code
21231
Country
FRA
Patient Identifiers
  • 0084765381712260594032^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55106^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11164^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 274092123163325^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 274092123163325^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2521^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0dcbd550-6acc-47de-8cd2-41cfc6cfe8ff
Socio-professional occupation
Retraités
Socio-professional group
Artisans
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1974
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
  • 2024-04-23 15:48:41.473 - Patient has been created
  • 2024-04-23 15:48:53.591 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-04-23 15:58:10.675 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-11-05 16:54:32.53 - 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