Patient information

GAUTIER MICHEL

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/3/24 2:24:33 PM (CEST GMT+0200)
First name
GAUTIER (GAUTIER)
Last name
MICHEL
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
1/17/69
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue du Chanoine Pény
Zip Code
87100
City
Limoges
Country
FRA

Birth Delivery Location

Zip Code
94210
City
Saint-Maur-des-Fossés
INSEE Code
94068
Country
FRA
Patient Identifiers
  • 0518297074702246468247^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54997^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11255^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2518^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ed0c11c5-d28b-4ed5-bedc-ebc425207d1e
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Anciennes professions intermédiaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1969
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
  • 2024-06-03 14:24:33.746 - Patient has been created by tech.tilak
  • 2024-06-03 14:24:33.922 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A47^ADT_A30 message
  • 2024-06-03 15:29:31.904 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action