Patient information

Quentin Leroy

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/31/21 10:31:01 AM (CEST GMT+0200)
First name
Quentin
Last name
Leroy
Mother's maiden name
Martin
Gender
Male
Date of Birth
10/1/98
Marital status
Identity Reliability Code

Home

Street address line
Promenade des Tuileries
Zip Code
69160
City
Tassin-la-Demi-Lune
Country
FRA
Patient Identifiers
  • DDS-72612^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 06217199324^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
Email
Account number
AN10605^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b79f671d-9936-47b3-bb9a-0a670ed0d497
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1998
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
  • 2021-08-31 10:31:01.305 - Patient has been created by m.trabace
  • 2021-08-31 10:31:34.988 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action