Patient information

Dormal Dominique

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/23/21 4:23:24 PM (CEST GMT+0200)
First name
Dormal
Last name
Dominique
Gender
Inconnu
Date of Birth
4/14/64
Marital status
Identity Reliability Code

Home

Street address line
Place Jean Tarrius
Zip Code
93800
City
Épinay-sur-Seine
Country
FRA
Patient Identifiers
  • OXY-IPP-0004^^^MCK&1.2.250.1.255.10.200.1&L (PI)
Email
Account number
AN0004^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
14d96beb-21a3-44dc-8845-669061891d53
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1946
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
  • 2021-06-23 16:24:26.428 - Patient has been created
  • 2021-06-23 16:24:26.523 - 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