Patient information

Mathieu Duvivier

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
9/22/16 2:18:33 PM (CEST GMT+0200)
First name
Mathieu
Last name
Duvivier
Mother's maiden name
Florentin
Gender
Masculin
Date of Birth
9/6/42
Marital status
Identity Reliability Code

Home

Street address line
Avenue du Stade
Zip Code
77400
City
Lagny-sur-Marne
Country
FRA
Patient Identifiers
  • 01982066297213718414 75^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52653^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN384^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
72f9623f-bb6e-42a9-a878-7b182fee2ae5
Socio-professional occupation
Employés
Socio-professional group
Professions libérales
Lunar Date
- - 1942
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN348^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN I 9/22/16 2:19:06 PM (CEST GMT+0200)
VN348^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 9/22/16 2:19:07 PM (CEST GMT+0200)