Patient information

PIERRE-ALAIN D'ARTAGNAN DE L'HERAULT

Simulated actor
Patient Demographic Consumer
Last modifier
ELAP GAP_ELAP
Last modified date
10/1/21 3:01:09 PM (CEST GMT+0200)
First name
PIERRE-ALAIN (PIERRE-ALAIN)
Second Name
BRUCE
Third Name
GORDON
Last name
D'ARTAGNAN DE L'HERAULT
Gender
Masculin
Date of Birth
4/14/90
Marital status
Identity Reliability Code
Validé

Home

Street address line
RUE DU PONT
Zip Code
63420
City
MAZOIRES
Country
FRA

Mailing address

Street address line
RUE DU PONT
Zip Code
63420
City
MAZOIRES
Country
FRA

Birth Delivery Location

Zip Code
63420
City
MAZOIRES
INSEE Code
63220
Country
FRA
Patient Identifiers
  • 190046322089981^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.8&ISO (INS-NIR)
  • 000031310752^^^ELAP GAP&& (PI)
  • 190046322089981^^^ASIP-SANTE-NIR&1.2.250.1.213.1.4.8&ISO (NH)
Email
Primary Residence Number
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
7755e0a7-65a7-49a2-8dd8-393bfe5e8433
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-10-01 15:01:09.433 - Patient has been received from SUT (ELAP ELAP GAP) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action