Patient information

IRENE FERNANDEZ

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/20/21 3:10:37 PM (CEST GMT+0200)
First name
IRENE (IRENE)
Last name
FERNANDEZ
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
4/16/82
Marital status
Identity Reliability Code
Validé

Address

Street address line
Rue René-Yves Creston
Zip Code
22000
City
Saint-Brieuc
Country
FRA

Birth Delivery Location

Zip Code
78120
City
Rambouillet
INSEE Code
78517
Country
FRA
Patient Identifiers
  • 1762351149948263396815^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54158^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10611^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 282047851772809^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 282047851772809^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1663^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ce2d125e-39eb-4ec2-89c8-22e4598b675f
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-20 15:10:37.391 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-20 15:10:37.393 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action