Patient information

Constance Leveque

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/23/21 4:53:28 PM (CET GMT+0100)
First name
Constance
Last name
Leveque
Mother's maiden name
Petit
Gender
Female
Date of Birth
1/12/78
Marital status
Divorced
Identity Reliability Code

Home

Street address line
Rue du Cloître
Zip Code
51100
City
Reims
Country
FRA
Patient Identifiers
  • 0352792616078021126228^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-71818^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10007^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
81a89e56-57f5-4a98-bf24-30cd728c8c6d
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1945
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
  • 2021-02-23 16:54:27.194 - Patient has been created
  • 2021-02-23 16:54:32.861 - Patient has been sent to SUT (IHE DxCare) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action