Patient information

DONATIEN DUBOIS

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/17/23 3:56:36 PM (CEST GMT+0200)
First name
DONATIEN (DONATIEN)
Last name
DUBOIS
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
6/15/81
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Jean Barré
Zip Code
29100
City
Douarnenez
Country
FRA

Birth Delivery Location

Zip Code
54300
City
Lunéville
INSEE Code
54329
Country
FRA
Patient Identifiers
  • 11069^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 181065432980150^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN2364^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5663324f-a5da-4c32-b493-c98311a447d4
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Clergé, religieux
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1981
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
  • 2023-10-17 15:57:16.086 - Patient has been created
  • 2023-10-17 15:57:16.83 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action