Patient information

ZARA PROROGEE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/19/21 5:39:52 PM (CEST GMT+0200)
First name
ZARA
Last name
PROROGEE
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
9/23/16
Marital status
Identity Reliability Code

Home

Street address line
Rue de Beauvoir
Zip Code
45160
City
Olivet
Country
FRA

Home

Zip Code
14200
City
Hérouville-Saint-Clair
Country
FRA
Patient Identifiers
  • 10609^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 188076322015994^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1661^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
65cbaf72-d265-4df7-89f0-f5eab322b485
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
  • 2021-08-19 17:39:53.023 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-19 17:39:53.025 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action