Patient information

PATRICE MOREAU

Simulated actor
Patient Demographic Supplier
Last modifier
Julien Touati
Last modified date
2/27/23 10:17:22 AM (CET GMT+0100)
First name
PATRICE (PATRICE)
Last name
MOREAU
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/10/56
Marital status
Identity Reliability Code
Validé

Home

Street address line
Boulevard de Narcel
Zip Code
69110
City
Sainte-Foy-lès-Lyon
Country
FRA

Birth Delivery Location

Zip Code
31830
City
Plaisance-du-Touch
INSEE Code
31424
Country
FRA
Patient Identifiers
  • 0773633151054219496492^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54588^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10851^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 156113142482473^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 156113142482473^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2065^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
633293fd-d9f5-417a-905b-3ee4e23e81c9
Socio-professional occupation
Ouvriers
Socio-professional group
Anciennes professions intermédiaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1956
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
  • 2023-02-27 10:17:24.593 - Patient has been created by jtouati
  • 2023-02-27 10:17:24.961 - Patient has been sent to SUT (IMPLICITY IMPLICITY) within a ADT^A28^ADT_A05 message by jtouati
Visit number
Patient status
Patient class
Last modified date
Action