Patient information

MADELINE RICHARD

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
2/14/24 4:15:44 PM (CET GMT+0100)
First name
MADELINE
Last name
RICHARD
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
5/10/82
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Avenue Danielle Casanova
Zip Code
94200
City
Ivry-sur-Seine
Country
FRA

Birth Delivery Location

Zip Code
51200
City
Épernay
INSEE Code
51230
Country
FRA
Patient Identifiers
  • 1666798696684646234610^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54905^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11234^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2426^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4e1d6dda-4658-41c7-99cf-f9836a5083ff
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
  • 2024-02-14 16:15:44.593 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2024-02-14 16:15:44.599 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action