Patient information

Thomas Bernard

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 5:41:28 PM (CEST GMT+0200)
First name
Thomas
Last name
Bernard
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/26/14
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Saint-Rome
Zip Code
31000
City
Toulouse
Country
FRA
Patient Identifiers
  • 10557^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^PI~293127864606775^^^ASIPSANTE-INSNIR&1.2.250.1.213.1.4.8&ISO^INS-NIR (INS)
Email
Account number
AN1606^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
af043d7a-0c38-4aaa-8ed7-ecdd1ec05aa6
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2014
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
  • 2021-07-26 17:43:55.929 - Patient has been created by dgranchi
  • 2021-07-26 17:43:56.016 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action