Patient information

JOHANNA HENRI

Simulated actor
Patient Encounter Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
9/21/22 2:35:22 PM (CEST GMT+0200)
First name
JOHANNA (JOHANNA)
Last name
HENRI
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
6/28/14
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Turenne
Zip Code
59220
City
Denain
Country
FRA

Birth Delivery Location

Zip Code
69500
City
Bron
INSEE Code
69029
Country
FRA
Patient Identifiers
  • 0146458527914993786133^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54436^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10762^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 214066902948668^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 214066902948668^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1915^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
23bcf6e9-8147-42ee-b616-3a5119c81d6d
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
  • 2022-09-21 14:35:22.388 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A08^ADT_A01 message
Visit number
Patient status
Patient class
Last modified date
Action
NumVisite ADMITTED E 9/13/22 12:19:34 PM (CEST GMT+0200)