Patient information

DOMINIQUE PAT-TROIS

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/4/22 9:41:20 AM (CET GMT+0100)
First name
DOMINIQUE (DOMINIQUE)
Last name
PAT-TROIS
Gender
Féminin
Date of Birth
3/28/79
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue du Phare
Zip Code
62600
City
Berck
Country
FRA

Birth Delivery Location

Zip Code
29000
City
Quimper
INSEE Code
29232
Country
FRA
Patient Identifiers
  • 279035121518989^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1837^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8041cae3-10b7-4c44-a3b6-d71a0ad7e74c
Socio-professional occupation
Employés
Socio-professional group
Personnes diverses sans activité professionnelle de 60 ans et plus (sauf retraités)
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2003
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
  • 2022-02-04 09:42:07.755 - Patient has been created
  • 2022-02-04 09:42:20.521 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2022-02-22 17:39:55.573 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2022-08-12 10:34:54.649 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action