Patient information

Ozanne Gautier

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 4:24:38 PM (CEST GMT+0200)
First name
Ozanne
Last name
Gautier
Mother's maiden name
Garnier
Gender
Féminin
Date of Birth
3/24/97
Marital status
Identity Reliability Code

Home

Street address line
Résidence Junien Rabier
Zip Code
24100
City
Bergerac
Country
FRA
Patient Identifiers
  • 1191370644543772121955^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54097^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1601^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
61b5b764-77ca-4c89-85f3-fd54d02917e7
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1997
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
  • 2021-07-26 16:25:57.939 - Patient has been created by dgranchi
  • 2021-07-26 16:25:58.137 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action