Patient information

Benoite Bernard

Simulated actor
Patient Demographic Supplier
Last modifier
Adrien Pécot
Last modified date
1/6/23 10:04:35 AM (CET GMT+0100)
First name
Benoite (Benoite)
Last name
Bernard
Mother's maiden name
Martin
Gender
F
Date of Birth
6/16/42
Marital status
Identity Reliability Code
PROV

Home

Street address line
Chemin des Blanchisseuses
Zip Code
88000
City
Épinal
Country
FRA

Birth Delivery Location

Zip Code
33000
City
Bordeaux
INSEE Code
33000
Country
FR
Patient Identifiers
  • 0542913506213128226762^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54542^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2019^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7fe53996-4ce7-4baf-a2bb-e0efb11ee710
Socio-professional occupation
8
Socio-professional group
78
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1942
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
  • 2023-01-06 10:05:03.839 - Patient has been created by apecotv2
  • 2023-01-06 10:05:03.955 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by apecotv2
Visit number
Patient status
Patient class
Last modified date
Action