Patient information

000334

Simulated actor
Patient Demographic Consumer
Last modifier
QSP_INS_CLINIQUE 3 QSP SYSTE
Last modified date
12/3/21 9:58:19 AM (CET GMT+0100)
Last name
000334
Gender
Féminin
Date of Birth
9/14/79
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
3 R
Zip Code
67460
City
SOUFFELWEYERSHEIM
Country
FRA

Birth Delivery Location

Zip Code
67000
City
STRASBOURG
Country
FRA
Patient Identifiers
  • 334^^^PAM_QSP&& (PI)
  • 279096700000000^^^&& (SS)
Email
Primary Residence Number
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
d62b662e-32d5-4b22-9336-e22795ad4d66
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
  • 2021-12-03 09:58:19.255 - Patient has been received from SUT (CLINIQUE 3 QSP SYSTE QSP_INS) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action