Patient information

RICHARD LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/9/21 12:09:40 PM (CET GMT+0100)
First name
RICHARD (RICHARD)
Last name
LEROY
Mother's maiden name
Chartier
Gender
Masculin
Date of Birth
6/8/96
Marital status
Identity Reliability Code
Validé

Home

Street address line
Chemin du Mont-Berjon
Zip Code
51300
City
Vitry-le-François
Country
FRA

Birth Delivery Location

Zip Code
78120
City
Rambouillet
INSEE Code
78517
Country
FRA
Patient Identifiers
  • 196067851703303^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 196067851703303^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1756^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
772d8261-89e3-4ce4-99b5-c884a71ff532
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Techniciens
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1996
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
  • 2021-12-09 12:09:40.839 - Patient has been created
  • 2021-12-09 12:10:16.296 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A47^ADT_A30 message
  • 2021-12-10 14:22:29.558 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action