Patient information

John Doe

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/6/21 3:18:49 PM (CEST GMT+0200)
First name
John
Last name
Doe
Mother's maiden name
Simon
Gender
Masculin
Date of Birth
12/25/18
Marital status
Identity Reliability Code
Provisoire

Address

Street address line
Rue de Génicourt
Zip Code
95520
City
Osny
Country
FRA
Patient Identifiers
  • 0532750403440415656546^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54222^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10644^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1713^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
45a6a2ba-2e05-44e8-8731-5d883b6a809a
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
  • 2021-10-06 15:18:49.712 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-06 15:18:49.714 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
VN2717^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 10/12/21 1:54:29 PM (CEST GMT+0200)