Patient information

Mace

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/15/21 10:35:53 AM (CEST GMT+0200)
Last name
Mace
Mother's maiden name
Weber
Gender
Inconnu
Date of Birth
10/24/49
Marital status
Identity Reliability Code
Provisoire

Address

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
f1c5c1fd-adf9-4a1a-ac87-5535a2260805
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
  • 2021-10-15 10:35:53.899 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-15 10:35:53.901 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action