Patient information

BENOIT HONORE

Simulated actor
Patient Demographic Supplier
Last modifier
Frédéric IZERABLE
Last modified date
7/5/22 11:44:30 AM (CEST GMT+0200)
First name
BENOIT (BENOIT)
Second Name
test
Third Name
test2
Last name
HONORE
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/17/43
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Saint-Cloud
Zip Code
92000
City
Nanterre
Country
FRA

Birth Delivery Location

Zip Code
75013
City
13th Arrondissement
INSEE Code
75113
Country
FRA
Patient Identifiers
  • 0480668503645111138089^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54426^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10757^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 143117511326106^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 143117511326106^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1907^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
64c36350-5c91-40a4-bcb8-905bc26fffbd
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Cadres administratifs et commerciaux d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1943
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
  • 2022-07-05 11:45:10.411 - Patient has been created by fizerable
  • 2022-07-05 11:47:23.207 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by fizerable
Visit number
Patient status
Patient class
Last modified date
Action