Patient information

Severine Moreau

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/25/21 1:30:34 PM (CET GMT+0100)
First name
Severine
Last name
Moreau
Mother's maiden name
Robert
Gender
Féminin
Date of Birth
6/28/08
Marital status
Identity Reliability Code

Home

Street address line
Rue de la Perche
Zip Code
62300
City
Lens
Country
FRA
Patient Identifiers
  • DDS-53770^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
  • 1740959788918098098792^^^ASIP-SANTE-INS-C&&ISO (NH)
Email
Account number
AN1312^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1dec6d6a-ce08-4e12-a8c2-751684577238
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2008
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-01-25 13:30:34.705 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action