Patient information

Leontine Pouliquen

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
10/17/16 2:59:05 PM (CEST GMT+0200)
First name
Leontine
Last name
Pouliquen
Mother's maiden name
Jaeger
Gender
Féminin
Date of Birth
9/17/79
Marital status
Identity Reliability Code

Home

Street address line
Quai des Carrières
Zip Code
94220
City
Charenton
Country
FRA
Patient Identifiers
  • 09712856516085398920 09^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52674^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN405^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ef6845b8-8564-46e2-8e94-a1c7f5799ee4
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 1979
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2016-10-17 14:59:10.753 - Patient has been created
  • 2016-10-17 14:59:11.711 - Patient has been sent to SUT (PAM_FR DxShareIT.MPI) within a ADT^A28^ADT_A05 message
  • 2017-05-19 10:00:36.35 - Patient has been sent to SUT (PAM_FR DxCare) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
VN585^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN I 5/19/17 10:27:53 AM (CEST GMT+0200)
VN585^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 5/19/17 10:27:53 AM (CEST GMT+0200)