Patient information

GIGI BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Ines MKACHER
Last modified date
12/14/22 5:21:05 PM (CET GMT+0100)
First name
GIGI (GIGI)
Last name
BERNARD
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
4/14/17
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Georges Clemenceau
Zip Code
29800
City
Landerneau
Country
FRA

Birth Delivery Location

Zip Code
77170
City
Brie-Comte-Robert
INSEE Code
77053
Country
FRA
Patient Identifiers
  • 1601373968754009790094^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54524^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10812^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 217047705314273^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 217047705314273^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2001^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4d79eeb5-d2e9-4cf4-8046-9a8cc879e156
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Policiers et militaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2017
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
  • 2022-12-14 17:21:21.5 - Patient has been created by ines.mkacher
  • 2022-12-14 17:21:23.632 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-14 17:22:44.536 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-14 17:35:03.064 - 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