Patient information

FABRICE PRIGENT

Simulated actor
Patient Demographic Supplier
Last modifier
Ines MKACHER
Last modified date
12/14/22 10:53:08 AM (CET GMT+0100)
First name
FABRICE (FABRICE)
Last name
PRIGENT
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
9/14/51
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Malausséna
Zip Code
06000
City
Nice
Country
FRA

Birth Delivery Location

Zip Code
33270
City
Floirac
INSEE Code
33167
Country
FRA
Patient Identifiers
  • 0006220119038764300736^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54522^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10810^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 151093316754375^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 151093316754375^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1999^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5d049b26-c91b-4b0a-8c78-7dfdc83227c7
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Agriculteurs sur grande exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1951
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
  • 2022-12-14 11:07:44.795 - Patient has been created by ines.mkacher
  • 2022-12-14 11:07:47.152 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-14 11:42:12.607 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
Visit number
Patient status
Patient class
Last modified date
Action