Patient information

Timothee Gonzales

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
9/26/16 12:19:18 PM (CEST GMT+0200)
First name
Timothee
Last name
Gonzales
Mother's maiden name
Bricout
Gender
Masculin
Date of Birth
8/17/98
Marital status
Identity Reliability Code

Home

Street address line
Rue Charles François Daubigny
Zip Code
95100
City
Argenteuil
Country
FRA
Patient Identifiers
  • 06577779828563474735 15^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52657^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN388^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
608e33e6-0987-4896-81ea-1c263ab704c3
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 1998
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2016-09-26 12:19:22.353 - Patient has been created
  • 2016-09-26 12:19:23.328 - Patient has been sent to SUT (PAM_FR DxShareIT.MPI) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action