Patient information

CORSE INS-FAMILLE-ONZE

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/13/21 3:51:10 PM (CEST GMT+0200)
First name
CORSE (CORSE)
Last name
INS-FAMILLE-ONZE
Mother's maiden name
Roux
Gender
Masculin
Date of Birth
7/14/01
Marital status
Identity Reliability Code
Validé

Home

Street address line
Place Francheville
Zip Code
24000
City
Périgueux
Country
FRA

Birth Delivery Location

Zip Code
88100
City
Saint-Dié-des-Vosges
INSEE Code
88413
Country
FRA
Patient Identifiers
  • 10602^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 170082622170161^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1653^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c6e9f6f1-4f70-46c0-b7e1-94afe0a733ae
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Techniciens
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
  • 2021-08-13 15:52:06.47 - Patient has been created
  • 2021-08-13 15:52:06.604 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action