Patient information

Blaise Dubois

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/20/20 2:47:28 PM (CEST GMT+0200)
First name
Blaise
Last name
Dubois
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
12/15/80
Marital status
Identity Reliability Code

Home

Street address line
Montée Victor Hugo
Zip Code
69300
City
Caluire-et-Cuire
Country
FRA
Patient Identifiers
  • 1701845580836449024192^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-53808^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN1349^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d193ab9d-ce88-4de1-b1e4-cb22a4903522
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 1980
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2020-10-20 14:47:32.825 - Patient has been created
  • 2020-10-20 14:47:32.842 - Patient has been sent to SUT (PAM_FR DxCare) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action