Patient information

MADELINE FOURNIER

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/5/21 3:29:55 PM (CEST GMT+0200)
First name
MADELINE (MADELINE)
Last name
FOURNIER
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
10/9/41
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue du Parc
Zip Code
77270
City
Villeparisis
Country
FRA

Birth Delivery Location

Zip Code
54180
City
La Croix
INSEE Code
59163
Country
FRA
Patient Identifiers
  • 1095443050766991798390^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54129^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10583^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 241105916381664^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 241105916381664^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1633^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c17a18cc-6eec-4ba4-abc1-ad66728a8528
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Personnels des services directs aux particuliers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1941
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
  • 2021-08-05 15:30:12.646 - Patient has been created
  • 2021-08-05 15:30:12.943 - 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