Patient information

CHARLOT MATHIEU

Simulated actor
Patient Demographic Supplier
Last modifier
Yohann Poiron
Last modified date
3/12/24 4:08:13 PM (CET GMT+0100)
First name
CHARLOT (CHARLOT)
Last name
MATHIEU
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
7/31/65
Marital status
Identity Reliability Code
Validé

Home

Street address line
Impasse du Mont de Piété
Zip Code
62000
City
Arras
Country
FRA

Birth Delivery Location

Zip Code
91190
City
Gif-sur-Yvette
INSEE Code
91272
Country
FRA
Patient Identifiers
  • 1063173709368910488749^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55047^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11156^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 165079127263578^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 165079127263578^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2503^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8a64d53b-c744-4a8d-9034-369bea70061a
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Chauffeurs
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1965
Date de naissance corrigé
No
Mode d'obtention de l'identité
Carte vitale
Justificatif d'identité
Carte européenne
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
  • 2024-03-12 16:08:58.203 - Patient has been created by ypoiron
  • 2024-03-12 16:08:58.49 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by ypoiron
  • 2024-06-21 15:56:07.321 - Patient has been sent to SUT (PAT ENSWEET) within a ADT^A28^ADT_A05 message by ypoiron
Visit number
Patient status
Patient class
Last modified date
Action