Patient information

LEONARDO DE VINCI

Simulated actor
Patient Demographic Consumer
Last modifier
Interop_Berger-Levrault
Last modified date
9/23/21 7:21:01 PM (CEST GMT+0200)
First name
LEONARDO
Last name
DE VINCI
Gender
Masculin
Date of Birth
2/1/14
Marital status
Identity Reliability Code
Provisoire

Address

Birth Delivery Location

Zip Code
63420
City
MAZOIRES
State
63220
Country
FRA
Patient Identifiers
  • 196716^^^BL&& (PI)
  • 196716^^^&& (PN)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
e564b590-24b0-440a-ac6e-215fca6e0af4
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
  • 2021-09-23 19:21:02.022 - Patient has been received from SUT (Berger-Levrault Interop) within a ADT^A28^ADT_A05 message
  • 2021-09-23 19:21:02.026 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action