Patient information

ERIC LOUIS

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/18/23 4:03:41 PM (CEST GMT+0200)
First name
ERIC (ERIC)
Last name
LOUIS
Mother's maiden name
Dubois
Gender
Masculin
Date of Birth
6/21/65
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue Pierre Égault
Zip Code
44800
City
Saint-Herblain
Country
FRA

Birth Delivery Location

Zip Code
64100
City
Bayonne
INSEE Code
64102
Country
FRA
Patient Identifiers
  • 0345934776326488811666^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54597^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10856^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2074^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2e1916f1-9ece-4b41-9db0-0f90fba9acc6
Socio-professional occupation
Retraités
Socio-professional group
Employés civils et agents de service de la fonction publique
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1965
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
  • 2023-04-18 16:03:41.667 - Patient has been created
  • 2023-04-18 16:03:41.824 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
  • 2023-04-18 16:05:35.354 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action