Patient information

Elise Bernard

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/6/22 4:12:04 PM (CET GMT+0100)
First name
Elise (Elise)
Last name
Bernard
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
8/13/87
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Quai de l'Entrepot
Zip Code
50100
City
Cherbourg-en-Cotentin
Country
FRA
Patient Identifiers
  • 1062690381350531612142^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54485^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1962^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
13e22425-015a-4598-8766-e5c7d14f2dbe
Socio-professional occupation
Ouvriers
Socio-professional group
Personnels des services directs aux particuliers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1987
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
  • 2022-12-06 16:12:14.273 - Patient has been created
  • 2022-12-06 16:12:14.435 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action