Patient information

Patrick Grimaud

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
9/20/21 3:18:33 PM (CEST GMT+0200)
First name
Patrick
Last name
Grimaud
Mother's maiden name
Duclos
Gender
Masculin
Date of Birth
8/12/13
Marital status
Identity Reliability Code
Provisoire

Address

Street address line
Rue du Commandant Valentin
Zip Code
25300
City
Pontarlier
Country
FRA

Birth Delivery Location

Street address line
rue de la rue
Zip Code
35000
City
RENNES
INSEE Code
34567
State
FRANCE
Country
FR
Patient Identifiers
  • 1722839443109495677760^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54195^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1690^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e05acf2b-9148-4543-a6bc-fbf245e52906
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
  • 2021-09-20 15:18:33.14 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-09-20 15:18:33.146 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action