Patient information

AVE PROKOPENKO

Simulated actor
Patient Demographic Supplier
Last modifier
Malo Toudic
Last modified date
1/11/22 12:10:25 PM (CET GMT+0100)
First name
AVE (AVE)
Last name
PROKOPENKO
Mother's maiden name
Metsar
Gender
Féminin
Date of Birth
7/4/55
Marital status
Identity Reliability Code
Validé

Home

Street address line
Kajaka
Zip Code
40231
City
Sillamäe linn
Country
EST

Birth Delivery Location

Zip Code
71013
City
Viljandi linn
INSEE Code
99106
Country
EST
Patient Identifiers
  • DDS-54343^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10719^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 255079910656616^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 255079910656616^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1828^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7f523449-1460-4cb3-a5c4-7dd9b0eb4f3d
Socio-professional occupation
Retraités
Socio-professional group
Professions de l'information, des arts et des spectacles
Number of weeks of gestation
3
SMS Consent
Yes
Date de naissance carte Vitale
Third week (33) - 15 - 1955
Date de naissance corrigé
Yes
Mode d'obtention de l'identité
Code à barre
Justificatif d'identité
Carte militaire
Valide jusqu'au
1/12/22 12:00:00 AM (CET GMT+0100)
Date d'interrogation du téléservice INSi
1/11/22 12:00:00 AM (CET GMT+0100)
Patient history
  • 2022-01-11 12:10:44.051 - Patient has been created by mtoudic
  • 2022-01-11 12:10:45.195 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by mtoudic
  • 2022-03-21 11:15:56.636 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message by mtoudic
Visit number
Patient status
Patient class
Last modified date
Action