Patient information

PONS ROBERT

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/7/22 4:08:11 PM (CEST GMT+0200)
First name
PONS (PONS)
Last name
ROBERT
Mother's maiden name
Lefebvre
Gender
Masculin
Date of Birth
8/16/93
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue de la Fosse aux Bergers
Zip Code
93250
City
Villemomble
Country
FRA

Birth Delivery Location

Zip Code
54300
City
Lunéville
INSEE Code
54329
Country
FRA
Patient Identifiers
  • 1049238144356269536277^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54380^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10732^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1861^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8f164037-cb67-479e-8d76-c89333bbb3c0
Socio-professional occupation
Employés
Socio-professional group
Elèves, étudiants
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1993
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
  • 2022-04-07 16:08:11.544 - Patient has been created by rudy.delepine
  • 2022-04-07 16:08:12.547 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action