Patient information

Carine Brebion

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
3/6/18 12:36:49 PM (CET GMT+0100)
First name
Carine
Last name
Brebion
Mother's maiden name
Guitard
Gender
Féminin
Date of Birth
11/6/89
Marital status
Identity Reliability Code

Home

Street address line
Chemin de Vitrolles au Griffon
Zip Code
13127
City
Vitrolles
Country
FRA
Patient Identifiers
  • 0317492217363623221066^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52981^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN697^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
38441643-fdc5-4de5-847e-b6f5f28c3834
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1989
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action