Patient information

TELESPHORE RAYNAL

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/28/23 4:44:05 PM (CET GMT+0100)
First name
TELESPHORE (TELESPHORE)
Last name
RAYNAL
Mother's maiden name
Labat
Gender
Masculin
Date of Birth
6/5/60
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue du Biest
Zip Code
59190
City
Hazebrouck
Country
FRA

Birth Delivery Location

Zip Code
59130
City
Lambersart
INSEE Code
59328
Country
FRA
Patient Identifiers
  • 0292141111574381611337^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55018^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11136^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2476^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d0760d21-d089-48b6-a1d9-746032862eb6
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Ingénieurs et cadres techniques d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1960
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
  • 2023-12-28 16:44:05.401 - Patient has been created
  • 2023-12-28 16:44:05.647 - Patient has been sent to SUT (BE_Server Med In Box) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action