Patient information

Henri Moreau

Simulated actor
Patient Demographic Supplier
Last modifier
QA Test
Last modified date
11/27/23 10:05:19 AM (CET GMT+0100)
First name
Henri (Henri)
Last name
Moreau
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
6/28/16
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue Prosper Legouté
Zip Code
92160
City
Antony
Country
FRA
Patient Identifiers
  • 1535965174457257579311^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54943^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 116064900360656^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 116064900360656^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2401^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9ef376f1-3c2c-4123-a9ff-5127749bd29e
Socio-professional occupation
Employés
Socio-professional group
Contremaîtres, agents de maîtrise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2016
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
  • 2023-11-27 10:05:34.91 - Patient has been created by QAMaela
  • 2023-11-27 10:05:35.653 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A31^ADT_A05 message by QAMaela
Visit number
Patient status
Patient class
Last modified date
Action