Patient information

PIERRE-ALAIN ECETINSI

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_IHE
Last modified date
6/8/21 1:18:17 PM (CEST GMT+0200)
First name
PIERRE-ALAIN
Last name
ECETINSI
Gender
Masculin
Marital status
Identity Reliability Code

Home

Street address line
Place du palais
Zip Code
84000
City
Avignon
Country
FRA

Home

State
63220
Patient Identifiers
  • 109076322083489^^^ASIPSANTE-INSNIR&1.2.250.1.213.1.4.8&ISO (INS)
Email
Account number
AN1495^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bf61d8ec-a9b3-4ac4-bbef-19543b51ddea
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
  • 2021-06-08 13:18:17.751 - Patient has been received from SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message
  • 2021-06-08 13:18:17.754 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action