Patient information

ARMEL HERISSON

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/3/21 8:38:31 AM (CET GMT+0100)
First name
ARMEL (ARMEL)
Last name
HERISSON
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
3/24/15
Marital status
Identity Reliability Code
Validé

Home

Street address line
Chemin de Pariset à Vouillant et aux Balmes
Zip Code
38600
City
Fontaine
Country
FRA

Birth Delivery Location

Zip Code
59000
City
Lille
INSEE Code
59350
Country
FRA
Patient Identifiers
  • 10679^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 115035935076384^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1776^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e883ab02-8fb5-4222-92a1-baa2039dd23d
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Policiers et militaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2015
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
  • 2021-12-03 08:39:42.425 - Patient has been created
  • 2021-12-13 14:24:27.379 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message
  • 2021-12-13 14:27:55.535 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action