Patient information

PHILBERT MATHIEU

Simulated actor
Patient Demographic Supplier
Last modifier
Robin Brech
Last modified date
12/6/23 2:00:40 PM (CET GMT+0100)
First name
PHILBERT (PHILBERT)
Last name
MATHIEU
Mother's maiden name
Leroy
Date of Birth
1/19/88
Marital status
Identity Reliability Code

Home

Street address line
Rue Jean Rière
Zip Code
66000
City
Perpignan
Country
FRA

Birth Delivery Location

Zip Code
25209
City
Montbéliard
INSEE Code
25388
Country
FRA
Patient Identifiers
  • 0224541859466169602334^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54987^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11117^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 188012538860894^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 188012538860894^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2445^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
edd56d2d-72b6-46ec-ba8e-7afd6dff720d
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1988
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
  • 2023-12-06 14:00:43.465 - Patient has been created by rbrech
  • 2023-12-06 14:00:43.975 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message by rbrech
Visit number
Patient status
Patient class
Last modified date
Action