Patient information

NICOLE POISSON

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/1/22 11:32:56 AM (CET GMT+0100)
First name
NICOLE (NICOLE)
Last name
POISSON
Mother's maiden name
Auger
Gender
Féminin
Date of Birth
9/29/09
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Villeparisis
Zip Code
77290
City
Mitry-Mory
Country
FRA

Birth Delivery Location

Zip Code
63400
City
Chamalières
INSEE Code
63075
Country
FRA
Patient Identifiers
  • 1580313380524978148810^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54479^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10776^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 209096307537431^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 209096307537431^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1956^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ab8f5b57-526a-4cc1-9a22-1718cbcba559
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Anciens agriculteurs exploitants
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2009
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
  • 2022-12-01 11:32:56.681 - Patient has been created by rudy.delepine
  • 2022-12-01 11:32:57.509 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action