Patient information

Fiacre Simon

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
4/12/19 10:24:14 AM (CEST GMT+0200)
First name
Fiacre
Last name
Simon
Mother's maiden name
Martin
Gender
Male
Date of Birth
8/12/70
Marital status
Identity Reliability Code

Home

Street address line
Boulevard Solférino
Zip Code
86000
City
Poitiers
Country
FRA
Patient Identifiers
  • 1029155833733325202122^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-65402^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8834^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1970
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN9460^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN I 4/12/19 10:24:32 AM (CEST GMT+0200)
VN9460^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 4/12/19 10:24:32 AM (CEST GMT+0200)