Patient information

SALMA BONANNI

Simulated actor
Patient Demographic Supplier
Last modifier
Salma Ben Bassidi
Last modified date
1/26/23 12:35:52 PM (CET GMT+0100)
First name
SALMA (SALMA)
Last name
BONANNI
Mother's maiden name
Laurent
Gender
Féminin
Date of Birth
5/20/81
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de la République
Zip Code
60300
City
Senlis
Country
FRA

Birth Delivery Location

Zip Code
04100
City
Manosque
INSEE Code
04112
Country
FRA
Patient Identifiers
  • 1164195093116171499461^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54559^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10833^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 281050411254252^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 281050411254252^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2036^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a3eef9f9-3913-4d2f-afbe-fbbdbdad70b7
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Agriculteurs sur moyenne exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1981
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
  • 2023-01-26 12:36:13.293 - Patient has been created by bbsalma
  • 2023-01-26 12:36:15.848 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by bbsalma
  • 2023-01-26 12:40:07.725 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by bbsalma
Visit number
Patient status
Patient class
Last modified date
Action