Patient information

ROSE SIMON

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/7/21 4:43:34 PM (CEST GMT+0200)
First name
ROSE (ROSE)
Last name
SIMON
Mother's maiden name
Leroy
Gender
Féminin
Date of Birth
5/28/92
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue Fernand Guillon
Zip Code
17000
City
La Rochelle
Country
FRA

Birth Delivery Location

Zip Code
62210
City
Avion
INSEE Code
62065
Country
FRA
Patient Identifiers
  • 1698002023710367465343^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54223^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10645^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1714^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3c42614a-9d38-49bf-bf9d-15035167961c
Socio-professional occupation
Employés
Socio-professional group
Employés civils et agents de service de la fonction publique
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1992
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
  • 2021-10-07 16:43:34.46 - Patient has been created
  • 2021-10-07 16:43:34.754 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
  • 2021-10-07 19:32:07.591 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action