Patient information

DIDIER GAUTIER

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
5/26/23 12:29:35 PM (CEST GMT+0200)
First name
DIDIER (DIDIER)
Last name
GAUTIER
Mother's maiden name
Girard
Gender
Masculin
Date of Birth
5/18/40
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue de Voize
Zip Code
93360
City
Neuilly-Plaisance
Country
FRA

Birth Delivery Location

Zip Code
16100
City
Cognac
INSEE Code
16102
Country
FRA
Patient Identifiers
  • 0805780112331701748273^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54620^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 10869^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2096^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ffe878d5-d263-4770-aec4-88c116eba5a0
Socio-professional occupation
Retraités
Socio-professional group
Professions de l'information, des arts et des spectacles
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1940
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
  • 2023-05-26 12:29:36.057 - Patient has been created
  • 2023-05-26 12:29:37.878 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action