Patient information

GERAUD LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Ines MKACHER
Last modified date
12/13/22 4:03:56 PM (CET GMT+0100)
First name
GERAUD (GERAUD)
Last name
LEROY
Mother's maiden name
Blin
Gender
Masculin
Date of Birth
5/1/86
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Flandre
Zip Code
59110
City
La Madeleine
Country
FRA

Birth Delivery Location

Zip Code
79300
City
Bressuire
INSEE Code
79049
Country
FRA
Patient Identifiers
  • 1668557718938732768790^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54515^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10805^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 186057904931843^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 186057904931843^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1992^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
872ff778-fae7-45ae-bdef-431e875066d0
Socio-professional occupation
Employés
Socio-professional group
Elèves, étudiants
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1986
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 16:04:41.041 - Patient has been created by ines.mkacher
  • 2022-12-13 16:04:43.328 - 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