Patient information

BRUCE D'ARTAGNAN DE L'HERAULT

Simulated actor
Patient Demographic Consumer
Last modifier
Interop_Berger-Levrault
Last modified date
9/23/21 6:05:02 PM (CEST GMT+0200)
First name
BRUCE (PIERRE-ALAIN)
Second Name
GORDON
Last name
D'ARTAGNAN DE L'HERAULT
Gender
Masculin
Date of Birth
4/14/90
Marital status
Identity Reliability Code
Validé

Address

Birth Delivery Location

Zip Code
63420
City
MAZOIRES
State
63220
Country
FRA
Patient Identifiers
  • 190046322089981^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.8&ISO (INS-NIR)
  • 196796^^^BL&& (PI)
  • 196796^^^&& (PN)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
ecf19c5d-fd76-4463-9178-c2ff59c6cffc
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-09-23 18:05:02.814 - Patient has been received from SUT (Berger-Levrault Interop) within a ADT^A28^ADT_A05 message
  • 2021-09-23 18:05:02.822 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action