Patient information

GILBERT DUVAL

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/23/21 10:07:16 AM (CEST GMT+0200)
First name
GILBERT (GILBERT)
Last name
DUVAL
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
9/10/73
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Charles de Gaulle
Zip Code
92200
City
Neuilly-sur-Seine
Country
FRA

Birth Delivery Location

Zip Code
69140
City
Rillieux-la-Pape
INSEE Code
69286
Country
FRA
Patient Identifiers
  • 1553400697862191536401^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54153^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10606^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 173096928655866^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 173096928655866^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1658^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f1d48fa0-46ac-43f2-8197-401a6266d286
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1973
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
  • 2021-08-23 10:07:16.275 - Patient has been created
  • 2021-08-23 10:07:16.449 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action