Patient information

EUSTACHE DUVAL

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/6/23 1:53:56 PM (CET GMT+0100)
First name
EUSTACHE (EUSTACHE)
Last name
DUVAL
Mother's maiden name
Dupuy
Date of Birth
6/7/76
Marital status
Identity Reliability Code

Home

Street address line
Avenue Albert Sorel
Zip Code
14000
City
Caen
Country
FRA

Birth Delivery Location

Zip Code
90000
City
Belfort
INSEE Code
90010
Country
FRA
Patient Identifiers
  • 1049827804867439570264^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54986^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11116^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 176069001067595^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 176069001067595^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2444^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
036690a9-4025-4e5e-80ab-8eff397e90ee
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1976
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
  • 2023-12-06 13:53:58.188 - Patient has been created
  • 2023-12-06 13:53:58.71 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action