Patient information

YANICK LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/1/21 2:36:29 PM (CET GMT+0100)
First name
YANICK (YANICK)
Last name
LEROY
Mother's maiden name
Herisson
Gender
Masculin
Date of Birth
7/19/63
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Paul Loubet
Zip Code
26200
City
Montélimar
Country
FRA

Birth Delivery Location

Zip Code
02700
City
Tergnier
INSEE Code
02738
Country
FRA
Patient Identifiers
  • 0218744002154302191220^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54263^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10663^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 163070273846422^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 163070273846422^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1750^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f76396b9-87d7-47fd-a15b-2486f7f2d13e
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1963
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
  • 2021-11-01 14:36:33.608 - Patient has been created
  • 2021-11-01 14:38:26.927 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action