Patient information

Leandre Gautier

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
9/25/23 4:43:56 PM (CEST GMT+0200)
First name
Leandre
Last name
Gautier
Mother's maiden name
Martin
Gender
Male
Date of Birth
7/23/09
Marital status
Identity Reliability Code

Home

Street address line
Avenue de la Source
Zip Code
78180
City
Montigny-le-Bretonneux
Country
FRA
Patient Identifiers
  • 0787381449600502705382^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74176^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11783^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
147c1bde-f6e2-4cca-94f3-8d9e15c9112f
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2009
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
  • 2023-09-25 16:44:07.38 - Patient has been created
  • 2023-09-25 16:44:07.478 - Patient has been sent to SUT (pms pms) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action