Patient information

ETHROUTHU SAPAN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/21/23 6:26:28 PM (CET GMT+0100)
First name
ETHROUTHU (ETHROUTHU)
Last name
SAPAN
Mother's maiden name
Kanetkar
Gender
Masculin
Date of Birth
6/7/07
Marital status
Identity Reliability Code
Validé

Home

Street address line
Bar Banglow Road
Zip Code
410400
City
Lonavala
Country
IND

Birth Delivery Location

Zip Code
614200
City
Papanasam
INSEE Code
99223
Country
IND
Patient Identifiers
  • DDS-54557^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10831^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 107069922374769^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 107069922374769^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2034^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a9442050-043a-43c1-b700-150ece77a81b
Socio-professional occupation
Retraités
Socio-professional group
Artisans
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2007
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
  • 2023-01-21 18:26:28.953 - Patient has been created
  • 2023-01-21 18:26:29.698 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action