Patient information

Hubert Favreau

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/4/21 12:41:57 PM (CEST GMT+0200)
First name
Hubert
Last name
Favreau
Mother's maiden name
Martin
Gender
Male
Date of Birth
4/23/54
Marital status
Identity Reliability Code

Home

Street address line
Rue des Jacobins
Zip Code
60000
City
Beauvais
Country
FRA
Patient Identifiers
  • 1327962575304023900938^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72259^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10297^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8024abe5-ce63-4bf1-bdcf-65fc4702cefd
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1954
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-04 12:42:00.431 - Patient has been created
  • 2021-06-04 12:42:08.12 - 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