Patient information

LAMBERT LEROY

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/13/21 1:48:35 PM (CET GMT+0100)
First name
LAMBERT (LAMBERT)
Last name
LEROY
Mother's maiden name
Peronnet
Gender
Masculin
Date of Birth
5/5/15
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue du Moulin Calois
Zip Code
76290
City
Montivilliers
Country
FRA

Birth Delivery Location

Zip Code
93110
City
Rosny-sous-Bois
INSEE Code
93064
Country
FRA
Patient Identifiers
  • 0729475554641041954430^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54311^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10690^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 115059306406339^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 115059306406339^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1798^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
699c3d10-218e-4d0b-a4fb-29865e5a687c
Socio-professional occupation
Ouvriers
Socio-professional group
Artisans
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
  • 2021-12-13 13:48:42.635 - Patient has been created
  • 2021-12-13 13:51:12.267 - Patient has been sent to SUT (GCS GCSEAI) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action