Patient information

Honore Pillon

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
9/22/16 2:26:25 PM (CEST GMT+0200)
First name
Honore
Last name
Pillon
Mother's maiden name
Couture
Gender
Masculin
Date of Birth
5/11/07
Marital status
Identity Reliability Code

Home

Street address line
Rue Majorelle
Zip Code
54180
City
Heillecourt
Country
FRA
Patient Identifiers
  • 01487744080104919350 80^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52654^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN385^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
77c844c5-688c-43f3-8063-c3af9917fd86
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2007
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
  • 2016-09-22 14:26:44.055 - Patient has been created
  • 2016-09-22 14:26:44.747 - Patient has been sent to SUT (PAM_FR DxShareIT.MPI) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action