Patient information

INSFAMILLETROIS

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/13/21 2:45:03 PM (CEST GMT+0200)
Last name
INSFAMILLETROIS
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
10/5/93
Marital status
Identity Reliability Code

Home

Street address line
Rue de la Vieille Fayence
Zip Code
67500
City
Haguenau
Country
FRA

Home

Zip Code
30200
City
Bagnols-sur-Cèze
Country
FRA
Patient Identifiers
  • 10600^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 160042622170397^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1651^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
94ce6f67-cc3b-46c7-8a65-4deae99296e9
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-13 14:45:03.082 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-13 14:45:03.084 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action