Patient information

PHILIPPINE SERGENT

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/5/21 4:16:39 PM (CEST GMT+0200)
First name
PHILIPPINE
Last name
SERGENT
Mother's maiden name
Herisson
Gender
Féminin
Date of Birth
3/19/21
Marital status
Identity Reliability Code

Home

Street address line
Rue du Moulin au Cat
Zip Code
50000
City
Saint-Lô
Country
FRA

Home

Zip Code
14100
City
Lisieux
Country
FRA
Patient Identifiers
  • 10591^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 221031436687176^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 221031436687176^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1641^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b892eaa5-4911-48bf-ba54-c84d0c5db8ee
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-05 16:16:39.93 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action
VN2690^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 8/5/21 4:17:33 PM (CEST GMT+0200)