Patient information

Jolie Jean

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/8/21 10:23:54 AM (CEST GMT+0200)
First name
Jolie
Last name
Jean
Mother's maiden name
Francois
Gender
Female
Date of Birth
4/18/67
Marital status
Identity Reliability Code

Home

Street address line
Chemin de Halage
Zip Code
02700
City
Tergnier
Country
FRA
Patient Identifiers
  • 0608494968019079191504^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72284^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 5690^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10312^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cec1ee06-62c5-4e23-8f3c-c45e7741be49
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1967
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-08 10:31:38.911 - Patient has been created
  • 2021-06-08 10:31:39.171 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action