Patient information

DION BAILLEUL

Simulated actor
Patient Demographic Supplier
Last modifier
Yohann Poiron
Last modified date
12/19/23 4:21:07 PM (CET GMT+0100)
First name
DION (DION)
Last name
BAILLEUL
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
6/4/72
Marital status
Identity Reliability Code
Validé

Home

Street address line
Chemin de Séguin
Zip Code
33610
City
Cestas
Country
FRA

Birth Delivery Location

Zip Code
58000
City
Nevers
INSEE Code
58194
Country
FRA
Patient Identifiers
  • 1618338319562179482669^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55003^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11125^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 172065819478287^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN2461^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5f78a57e-9411-4844-9aef-3932bc63c7c0
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Agriculteurs sur grande exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1972
Date de naissance corrigé
No
Mode d'obtention de l'identité
Saisie manuelle
Justificatif d'identité
Passeport
Valide jusqu'au
3/29/24 12:00:00 AM (CET GMT+0100)
Date d'interrogation du téléservice INSi
Patient history
  • 2023-12-19 16:22:27.233 - Patient has been created by ypoiron
  • 2023-12-19 16:22:27.755 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by ypoiron
Visit number
Patient status
Patient class
Last modified date
Action