Patient information

GERARD BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Ines MKACHER
Last modified date
12/13/22 2:16:23 PM (CET GMT+0100)
First name
GERARD (GERARD)
Last name
BERNARD
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
8/21/71
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue du Professeur Jean Rouxel
Zip Code
44470
City
Carquefou
Country
FRA

Birth Delivery Location

Zip Code
93190
City
Livry-Gargan
INSEE Code
93046
Country
FRA
Patient Identifiers
  • 0940796337950311360251^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54502^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10793^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 171089304658577^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 171089304658577^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1979^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e76665e6-d983-4069-a2f9-9a9f8d601188
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Ouvriers qualifiés de type artisanal
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1971
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
  • 2022-12-13 14:19:08.435 - Patient has been created by ines.mkacher
  • 2022-12-13 14:19:10.646 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-13 14:26:36.272 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-13 14:36:38.913 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-13 14:56:59.951 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
Visit number
Patient status
Patient class
Last modified date
Action