Patient information

LUCIE DESCHAMPS

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/5/21 4:15:29 PM (CEST GMT+0200)
First name
LUCIE (LUCIE)
Last name
DESCHAMPS
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
11/18/41
Marital status
Identity Reliability Code
Validé

Home

Street address line
Impasse du Commerce
Zip Code
33320
City
Eysines
Country
FRA

Birth Delivery Location

Zip Code
92270
City
Bois-Colombes
INSEE Code
92009
Country
FRA
Patient Identifiers
  • 10590^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 241119200958761^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 241119200958761^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1640^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1cf479ec-c70c-4c94-b977-f67f734f155a
Socio-professional occupation
Employés
Socio-professional group
Elèves, étudiants
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1941
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
  • 2021-08-05 16:15:31.258 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action