Patient information

NADINE INSFAMILLEQUATRE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/20/21 3:06:17 PM (CEST GMT+0200)
First name
NADINE (NADINE)
Last name
INSFAMILLEQUATRE
Mother's maiden name
Leroy
Gender
Féminin
Date of Birth
4/20/80
Marital status
Identity Reliability Code
Validé

Address

Street address line
Rue Lefebvre d'Orval
Zip Code
59500
City
Douai
Country
FRA

Birth Delivery Location

Zip Code
38600
City
Fontaine
INSEE Code
38169
Country
FRA
Patient Identifiers
  • 10610^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 280043816902709^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1662^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
82f02a83-1cab-4dc4-9c96-726d6ec3ae87
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
  • 2021-08-20 15:06:17.314 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-20 15:06:17.318 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action