Patient information

CORIN SIMON

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/24/23 2:45:58 PM (CET GMT+0100)
First name
CORIN (CORIN)
Last name
SIMON
Mother's maiden name
Martin
Gender
M
Date of Birth
7/3/59
Marital status
Identity Reliability Code
VIDE

Home

Street address line
Rue Marc Tressol
Zip Code
34500
City
Béziers
Country
FRA

Birth Delivery Location

Zip Code
92260
City
Fontenay-aux-Roses
INSEE Code
92032
Country
FRA
Patient Identifiers
  • 1750183972637789915841^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • 10848^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2062^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
51e6b590-5aef-4800-a715-fb5869d8d595
Socio-professional occupation
2
Socio-professional group
85
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1959
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
  • 2023-02-24 14:45:58.151 - Patient has been created by jtouati
  • 2023-02-24 14:45:59.048 - Patient has been sent to SUT (IMPLICITY IMPLICITY) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action