Patient information

CORSE INS-FAMILLE-ONZE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/13/21 3:52:06 PM (CEST GMT+0200)
First name
CORSE
Last name
INS-FAMILLE-ONZE
Mother's maiden name
Roux
Gender
Masculin
Date of Birth
7/14/01
Marital status
Identity Reliability Code

Home

Street address line
Place Francheville
Zip Code
24000
City
Périgueux
Country
FRA

Home

Zip Code
88100
City
Saint-Dié-des-Vosges
Country
FRA
Patient Identifiers
  • 10602^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 170082622170161^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1653^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
abc1ec63-e4c1-4d58-ad6e-f8b409370a08
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-13 15:52:06.561 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-13 15:52:06.562 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action