Patient information

JUSTE BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/7/22 3:13:58 PM (CET GMT+0100)
First name
JUSTE (JUSTE)
Last name
BERNARD
Mother's maiden name
Leroy
Gender
Masculin
Date of Birth
10/14/72
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Allée de Bretagne
Zip Code
94320
City
Thiais
Country
FRA

Birth Delivery Location

Zip Code
30033
City
Nîmes
INSEE Code
30189
Country
FRA
Patient Identifiers
  • 0149543225231932586817^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54341^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10717^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1826^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
af814293-7752-415e-b014-a010c5a6d402
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Professions libérales
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1972
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 15:13:58.802 - Patient has been created
  • 2022-01-07 15:14:13.969 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action