Patient information

BORIS HAIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/6/22 5:07:06 PM (CET GMT+0100)
First name
BORIS (BORIS)
Last name
HAIN
Mother's maiden name
Kondratjev
Gender
M
Date of Birth
3/28/56
Marital status
Identity Reliability Code
VALI

Home

Street address line
Vaksali
Zip Code
71012
City
Viljandi linn
Country
EST

Birth Delivery Location

Zip Code
40231
City
Sillamäe linn
INSEE Code
99106
Country
EST
Patient Identifiers
  • DDS-54333^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10709^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 156039910626461^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 156039910626461^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1818^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b7942c23-8f52-4fb1-807b-5e47d6ddee22
Socio-professional occupation
2
Socio-professional group
54
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1956
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
  • 2022-01-06 17:07:06.448 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action