Patient information

NINETTE VINCENT

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/22/21 2:03:32 PM (CET GMT+0100)
First name
NINETTE (NINETTE)
Last name
VINCENT
Mother's maiden name
Collot
Gender
Féminin
Date of Birth
11/18/18
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Charles-Maréchal
Zip Code
78300
City
Poissy
Country
FRA

Birth Delivery Location

Zip Code
34110
City
Frontignan
INSEE Code
34108
Country
FRA
Patient Identifiers
  • 0911612812909696335451^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54330^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10706^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 218113410818688^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 218113410818688^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1815^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
aa364e16-6c50-49a3-a8e9-f77aa04b4f74
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Employés administratifs d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2018
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
  • 2021-12-22 14:03:39.303 - Patient has been created
  • 2021-12-22 14:03:39.527 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
  • 2021-12-29 11:42:58.916 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action