Patient information

Colombain Briquet

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
1/19/21 12:04:36 PM (CET GMT+0100)
First name
Colombain
Last name
Briquet
Mother's maiden name
Girard
Gender
Masculin
Date of Birth
8/30/73
Marital status
Identity Reliability Code

Home

Country
FRA
Patient Identifiers
  • DDS-53850^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1375^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5dd62f9c-ff44-423a-85f6-031f7c7292ae
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
  • 2021-01-19 12:04:36.486 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-01-19 12:04:36.489 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action