Patient information

Valery Olivier

Simulated actor
Patient Demographic Consumer
Last modifier
PAMSimulator_IHE
Last modified date
7/15/21 10:33:12 AM (CEST GMT+0200)
First name
Valery
Last name
Olivier
Mother's maiden name
Herisson
Gender
Male
Date of Birth
4/11/47
Marital status
Identity Reliability Code

Home

Street address line
Rue Léon Mure
Zip Code
04100
City
Manosque
Country
FRA
Patient Identifiers
  • 0088930653153591837007^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72522^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 5712^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10555^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1433e8ea-3d2d-4da3-b45c-b3e126b607d5
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
  • 2021-07-15 10:33:12.427 - Patient has been received from SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
  • 2021-07-15 10:33:12.428 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
VN13358^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 7/15/21 2:34:22 PM (CEST GMT+0200)