Patient information

Mace

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/15/21 10:35:49 AM (CEST GMT+0200)
First name
Last name
Mace
Mother's maiden name
Weber
Gender
Inconnu
Date of Birth
10/24/49
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Boulevard Jean Jaurès
Zip Code
94260
City
Fresnes
Country
FRA
Patient Identifiers
  • DDS-54231^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1720^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7415dbe0-6953-4e30-9876-6dad2b0feb47
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Personnels des services directs aux particuliers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1949
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
  • 2021-10-15 10:35:53.81 - Patient has been created
  • 2021-10-15 10:35:53.972 - 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