Patient information

FLORETTE BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
11/2/21 5:35:15 PM (CET GMT+0100)
First name
FLORETTE (FLORETTE)
Last name
BERNARD
Mother's maiden name
Leroy
Gender
Féminin
Date of Birth
7/26/80
Marital status
Identity Reliability Code
Validé

Home

Street address line
Route du Mail
Zip Code
78100
City
Saint-Germain-en-Laye
Country
FRA

Birth Delivery Location

Zip Code
59600
City
Maubeuge
INSEE Code
59392
Country
FRA
Patient Identifiers
  • 10667^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 280075939254047^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
Email
Account number
AN1755^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c173be19-4db5-4e99-b82e-3b0a92ca166c
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Techniciens
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 5 - 1980
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
  • 2021-11-02 17:36:50.772 - Patient has been created by dgranchi
  • 2021-11-02 17:36:51.007 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
  • 2021-12-09 12:14:44.86 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action