Patient information

STEPHANIE ROUSSEAU

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/1/21 2:35:36 PM (CET GMT+0100)
First name
STEPHANIE (STEPHANIE)
Last name
ROUSSEAU
Mother's maiden name
Michel
Gender
Féminin
Date of Birth
4/8/13
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Émile Cossonneau
Zip Code
93160
City
Noisy-le-Grand
Country
FRA

Birth Delivery Location

Zip Code
58000
City
Nevers
INSEE Code
58194
Country
FRA
Patient Identifiers
  • DDS-54262^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10662^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 213045819476602^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 213045819476602^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1749^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
901d4e99-839e-4261-b056-5f01ce6fceea
Socio-professional occupation
Ouvriers
Socio-professional group
Anciens cadres
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2013
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
  • 2021-11-01 14:35:42.841 - Patient has been created
  • 2021-11-01 14:35:43.545 - Patient has been sent to SUT (Finistere HM) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action