Patient information

Francoise Fortier

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
10/17/16 1:38:36 PM (CEST GMT+0200)
First name
Francoise
Last name
Fortier
Mother's maiden name
Burger
Gender
Féminin
Date of Birth
6/9/00
Marital status
Identity Reliability Code

Home

Street address line
Avenue Maurice Berteaux
Zip Code
59430
City
Dunkerque
Country
FRA
Patient Identifiers
  • 15210475603991840046 48^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52673^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN404^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
74ed2cf6-d1d0-44a9-8a1d-0afeec1c9c5e
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 2011
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2016-10-17 13:43:56.932 - Patient has been created
  • 2016-10-17 13:43:56.949 - Patient has been sent to SUT (PAM_FR DxShareIT.MPI) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action