Patient information

LEONARDO DE VINCI

Simulated actor
Patient Demographic Consumer
Last modifier
CPAGE_CPAGE
Last modified date
9/14/21 10:00:13 AM (CEST GMT+0200)
First name
LEONARDO (LEONARDO)
Last name
DE VINCI
Gender
Masculin
Date of Birth
2/1/14
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Du Test
Zip Code
21000
City
DIJON
Country
FRA

Birth Delivery Location

Zip Code
63420
City
MAZOIRES
INSEE Code
63220
State
63220
Country
FRA
Patient Identifiers
  • 000000261391^^^CPAGE&1.2.250.1.GAP.QIMPR291&L (PI)
  • 0000261391^^^CPAGE&& (MR)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
c37966d7-ef2f-463a-93f7-ab304a55a658
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
  • 2021-09-14 10:00:13.666 - Patient has been received from SUT (CPAGE CPAGE) within a ADT^A28^ADT_A05 message
  • 2021-09-14 10:00:13.679 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action