Patient information

LUCAS PERRIN

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/5/21 3:31:35 PM (CEST GMT+0200)
First name
LUCAS
Last name
PERRIN
Mother's maiden name
Bernard
Gender
M
Date of Birth
4/22/81
Marital status
Identity Reliability Code

Home

Street address line
Rue Commandant Paul Teste
Zip Code
56100
City
Lorient
Country
FRA

Home

Zip Code
59430
City
Dunkirk
Country
FRA
Patient Identifiers
  • 10584^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 181045918362178^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 181045918362178^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1634^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b54be0e0-fe70-4bb0-82dd-e8f5b9449653
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
  • 2021-08-05 15:31:35.674 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-05 15:31:35.677 - Patient has been created
  • 2021-08-05 15:35:25.682 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action
VN2685^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 8/5/21 3:33:19 PM (CEST GMT+0200)