Patient information

Doriane Simon

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/6/23 4:30:35 PM (CET GMT+0100)
First name
Doriane (Doriane)
Last name
Simon
Mother's maiden name
Poisson
Gender
Féminin
Date of Birth
8/16/51
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Avenue Jacques Duclos
Zip Code
37700
City
Saint-Pierre-des-Corps
Country
FRA

Birth Delivery Location

Zip Code
35000
City
RENNES
INSEE Code
35000
Country
FRA
Patient Identifiers
  • 1419643198718977821663^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54545^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2022^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5705eaea-1913-4603-9741-d219567443a6
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Ouvriers qualifiés de la manutention, du magasinage et du transport
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1951
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
  • 2023-01-06 16:31:42.887 - Patient has been created
  • 2023-01-06 16:31:42.976 - 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