Patient information

SERAPHINE LEMOINE

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/8/23 5:20:17 PM (CET GMT+0100)
First name
SERAPHINE (SERAPHINE)
Last name
LEMOINE
Mother's maiden name
Roux
Gender
Féminin
Date of Birth
12/3/62
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Vatel
Zip Code
37700
City
Saint-Pierre-des-Corps
Country
FRA

Birth Delivery Location

Zip Code
25400
City
Audincourt
INSEE Code
25031
Country
FRA
Patient Identifiers
  • 0631728508478930131809^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54579^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10843^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 262122503110104^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 262122503110104^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2056^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9906dd43-9d23-4ff4-88ce-645067e90751
Socio-professional occupation
Employés
Socio-professional group
Cadres administratifs et commerciaux d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1962
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
  • 2023-02-08 17:20:17.349 - Patient has been created by andy.pilate
  • 2023-02-08 17:20:18.122 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A47^ADT_A30 message
  • 2023-02-24 12:57:36.624 - Patient has been sent to SUT (IMPLICITY IMPLICITY) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action