Patient information

EDGARD OLIVIER

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/17/22 2:04:17 PM (CEST GMT+0200)
First name
EDGARD (EDGARD)
Last name
OLIVIER
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/25/06
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Jeanne d'Arc
Zip Code
78100
City
Saint-Germain-en-Laye
Country
FRA

Birth Delivery Location

Zip Code
13120
City
Gardanne
INSEE Code
13041
Country
FRA
Patient Identifiers
  • 1792586426961369040739^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54405^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10751^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 106041304150460^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 106041304150460^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1886^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4de5352c-8889-475f-88f1-47d85135572a
Socio-professional occupation
Retraités
Socio-professional group
Anciens employés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 47 - 2006
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
  • 2022-06-17 14:04:55.893 - Patient has been created
  • 2022-06-17 14:04:56.608 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
  • 2022-06-17 14:15:38.877 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
  • 2022-06-17 14:17:24.175 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action