Patient information

Felix Grand

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/12/21 11:04:18 AM (CEST GMT+0200)
First name
Felix
Last name
Grand
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/17/76
Marital status
Identity Reliability Code

Home

Street address line
A 15
Zip Code
95220
City
Herblay-sur-Seine
Country
FRA
Patient Identifiers
  • 0553601425472738351438^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54051^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1554^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
dca03e22-bba5-4a1c-a436-0d2edbc5b1eb
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1976
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
  • 2021-07-12 11:04:18.624 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action