Patient information

ROMAIN BERGER

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/19/21 5:51:47 PM (CET GMT+0100)
First name
ROMAIN (ROMAIN)
Last name
BERGER
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/15/96
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Chemin d'Andrésy
Zip Code
78260
City
Achères
Country
FRA

Birth Delivery Location

Zip Code
69500
City
Bron
INSEE Code
69029
Country
FRA
Patient Identifiers
  • 1266246587985892452606^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54278^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10672^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1764^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bc823cc5-8fad-4c1d-91d2-aa17112c90c7
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Chômeurs n'ayant jamais travaillé
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
  • 2021-11-19 17:51:47.158 - Patient has been created
  • 2021-11-19 17:51:47.718 - Patient has been sent to SUT (DEMORIS VENUS) within a ADT^A47^ADT_A30 message
  • 2021-12-13 10:38:35.376 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action