Patient information

CHANTAL COLLARD

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/28/24 10:25:08 AM (CEST GMT+0200)
First name
CHANTAL (CHANTAL)
Last name
COLLARD
Mother's maiden name
Richard
Gender
Féminin
Date of Birth
4/19/14
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Chemin du Paradou
Zip Code
06210
City
Mandelieu-la-Napoule
Country
FRA

Birth Delivery Location

Zip Code
33320
City
Eysines
INSEE Code
33162
Country
FRA
Patient Identifiers
  • DDS-55030^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11280^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2551^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
eb1e34dc-c781-4055-b070-8fb2e8e83b57
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Militaires du contingent
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2014
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
  • 2024-08-28 10:25:08.338 - Patient has been created
  • 2024-08-28 10:25:08.395 - Patient has been sent to SUT (hl7server hl7server) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action