Patient information

GABRIEL LEDUC

Simulated actor
Patient Demographic Supplier
Last modifier
Rudy Delepine
Last modified date
4/7/22 3:59:24 PM (CEST GMT+0200)
First name
GABRIEL (GABRIEL)
Last name
LEDUC
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
2/11/85
Marital status
Identity Reliability Code
Validé

Home

Street address line
Route de Macornay
Zip Code
39000
City
Lons-le-Saunier
Country
FRA

Birth Delivery Location

Zip Code
2000
City
Ajaccio
INSEE Code
2A004
Country
FRA
Patient Identifiers
  • 1780624741775153539739^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54378^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10730^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 185022A00478723^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 185022A00478723^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1859^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
70fd83df-87a9-463f-87bf-dbb09fd0a0c9
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Employés de commerce
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1985
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
  • 2022-04-07 15:59:38.033 - Patient has been created by rudy.delepine
  • 2022-04-07 15:59:40.883 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-05-17 11:36:33.516 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-05-17 11:42:20.062 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-05-17 11:43:10.998 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-05-17 11:44:07.077 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
Visit number
Patient status
Patient class
Last modified date
Action