Patient information

Felicienne Dupond

Simulated actor
Patient Demographic Supplier
Last modifier
Sylvain GUYOMARCH
Last modified date
7/19/21 9:57:07 AM (CEST GMT+0200)
First name
Felicienne
Last name
Dupond
Mother's maiden name
Michel
Gender
Féminin
Date of Birth
5/11/71
Marital status
Identity Reliability Code

Home

Street address line
Rue du Maréchal de Lattre de Tassigny
Zip Code
59170
City
Croix
Country
FRA
Patient Identifiers
  • 0508305104157021645014^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54061^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1565^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5ff3577f-1e64-4dea-b574-889037d4c746
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1971
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
  • 2021-07-19 09:57:18.997 - Patient has been created by sguyomarch
  • 2021-07-19 09:57:19.071 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by sguyomarch
  • 2021-07-19 09:57:49.457 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action