Patient information

TELESPHORE LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/7/22 12:01:52 PM (CET GMT+0100)
First name
TELESPHORE (TELESPHORE)
Last name
LEROY
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
2/11/18
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Rumilly
Zip Code
59400
City
Cambrai
Country
FRA

Birth Delivery Location

Zip Code
92160
City
Antony
INSEE Code
92002
Country
FRA
Patient Identifiers
  • 1240591302749960982229^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54339^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10715^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 118029200284873^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 118029200284873^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1824^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
07cb8fc9-a139-4fa6-b10c-7e95b79d4ee4
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Professions de l'information, des arts et des spectacles
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2018
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
  • 2022-01-07 12:01:58.852 - Patient has been created
  • 2022-01-07 12:02:09.275 - Patient has been sent to SUT (EMED EMED) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action