Patient information

LEONARDO DE VINCI

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_IHE
Last modified date
5/27/21 3:41:44 PM (CEST GMT+0200)
First name
LEONARDO
Last name
DE VINCI
Gender
Masculin
Date of Birth
2/1/14
Marital status
Identity Reliability Code

Home

Street address line
12 impasse Bellevue
Zip Code
14000
City
Caen
Country
FRA

Home

State
63220
Patient Identifiers
  • 114026322083356^^^ASIPSANTE-INSNIR&1.2.250.1.213.1.4.8&ISO (INS)
Email
Account number
AN1487^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ac0f1b3a-72ad-4866-9447-3446ffbb9810
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
  • 2021-05-27 15:41:44.602 - Patient has been received from SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message
  • 2021-05-27 15:41:44.606 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action