Patient information

HORTENSE LELIEVRE

Simulated actor
Patient Demographic Supplier
Last modifier
Rudy Delepine
Last modified date
3/31/22 3:29:19 PM (CEST GMT+0200)
First name
HORTENSE (HORTENSE)
Last name
LELIEVRE
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
10/23/21
Marital status
Identity Reliability Code
Validé

Home

Street address line
Voie Communale de Malespine
Zip Code
84120
City
Pertuis
Country
FRA

Birth Delivery Location

Zip Code
91190
City
Gif-sur-Yvette
INSEE Code
91272
Country
FRA
Patient Identifiers
  • 0741501139908823423919^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54374^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10726^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 221109127228065^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 221109127228065^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1855^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7ee3a0b5-fb32-41a6-8f80-ae82fc8d9199
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Agriculteurs sur moyenne exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2021
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
  • 2022-03-31 15:29:34.278 - Patient has been created by rudy.delepine
  • 2022-03-31 15:29:37.298 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-04-06 11:43:30.243 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-05-17 11:01:12.81 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
Visit number
Patient status
Patient class
Last modified date
Action