Patient information

Monique Vrignaud

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
1/25/21 1:39:24 PM (CET GMT+0100)
First name
Monique
Last name
Vrignaud
Mother's maiden name
Court
Gender
Féminin
Date of Birth
4/12/54
Marital status
Identity Reliability Code

Home

Street address line
Chemin du Chèvrefeuille
Zip Code
43000
City
Le Puy-en-Velay
Country
FRA
Patient Identifiers
  • 0689621323020832901361^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52873^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN602^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1a55e8b3-63df-4ad0-aeff-24bc201cfec3
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1954
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
  • 2021-01-25 13:39:25.024 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
AN602^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN ADMITTED E 4/1/22 9:45:19 PM (CEST GMT+0200)