Patient information

LUCIEN LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/7/23 4:57:22 PM (CET GMT+0100)
First name
LUCIEN (LUCIEN)
Last name
LEROY
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
5/31/70
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue du Biest
Zip Code
59190
City
Hazebrouck
Country
FRA

Birth Delivery Location

Zip Code
62110
City
Hénin-Beaumont
INSEE Code
62427
Country
FRA
Patient Identifiers
  • 1166274842815128159117^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54989^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11118^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 170056242767169^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 170056242767169^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2447^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
66a40d7d-5453-466d-8866-8cf18f20ca14
Socio-professional occupation
Retraités
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1970
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
  • 2023-12-07 16:58:43.209 - Patient has been created
  • 2023-12-07 16:58:43.248 - Patient has been sent to SUT (User ENSWEET) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action