Patient information

DONATELLO DE VINCI

Simulated actor
Connectathon
Last modifier
Anne-Gaëlle Bergé
Last modified date
5/11/21 9:39:32 PM (CEST GMT+0200)
First name
DONATELLO (DONATELLO )
Second Name
THIERRY
Third Name
MICHEL
Last name
DE VINCI
Gender
Masculin
Date of Birth
8/7/10
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de la Résistance
Zip Code
58200
City
COSNE-COURS-SUR-LOIRE
Country
FRA

Birth Delivery Location

State
63220
Patient Identifiers
  • 110086322083159^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.8&ISO (INS)
Email
Account number
AN1491^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bdef71ff-ca18-4f9f-83d6-71c9b8982c85
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
  • 2023-01-19 15:59:50.594 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message by aberge
  • 2023-01-24 01:27:22.944 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message by aberge
  • 2023-08-24 14:30:32.108 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by aberge
  • 2023-08-24 14:38:57.271 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by aberge
  • 2023-08-24 14:47:34.068 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by aberge
  • 2023-11-28 15:32:23.715 - Patient has been sent to SUT (Ecare Ecare) within a ADT^A28^ADT_A05 message by aberge
Visit number
Patient status
Patient class
Last modified date
Action
VN2760^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED E 3/10/22 3:40:24 PM (CET GMT+0100)