Patient information

Gervaise Julien

Simulated actor
Patient Demographic Supplier
Last modifier
QAMaela
Last modified date
10/30/23 4:55:05 PM (CET GMT+0100)
First name
Gervaise (Gervaise)
Last name
Julien
Mother's maiden name
Masson
Gender
Féminin
Date of Birth
4/22/16
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue Georges Bernard
Zip Code
27000
City
Évreux
Country
FRA
Patient Identifiers
  • 11073^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 216046600541633^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 216046600541633^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2369^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8470af2c-0da4-4185-93a9-3efc977205e2
Socio-professional occupation
Retraités
Socio-professional group
Employés administratifs d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2016
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
  • 2023-10-30 16:55:18.895 - Patient has been created by QAMaela
  • 2023-10-30 16:55:19.72 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message by QAMaela
Visit number
Patient status
Patient class
Last modified date
Action