Patient information

DENISE DUARTE

Simulated actor
Patient Demographic Supplier
Last modifier
Rudy Delepine
Last modified date
11/21/22 2:01:51 PM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
DENISE (DENISE)
Last name
DUARTE
Mother's maiden name
Gaillard
Gender
Féminin
Date of Birth
6/11/97
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue d'Auriasque
Zip Code
83600
City
Fréjus
Country
FRA

Birth Delivery Location

Zip Code
91160
City
Longjumeau
INSEE Code
91345
Country
FRA
Patient Identifiers
  • 0435679008636870354236^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54473^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10773^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 297069134518205^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 297069134518205^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1950^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c95a4f59-bf31-4690-bc66-344b83fe9142
Socio-professional occupation
Employés
Socio-professional group
Anciens cadres
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1997
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
  • 2022-11-21 14:02:20.408 - Patient has been created by rudy.delepine
  • 2022-12-01 11:06:55.872 - Patient has been changed Id patient #31480 by rudy.delepine
Visit number
Patient status
Patient class
Last modified date
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