Patient information

GERALD BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Alexis MOREL
Last modified date
3/13/24 9:45:05 AM (CET GMT+0100)
First name
GERALD (GERALD)
Last name
BERNARD
Mother's maiden name
Garnier
Gender
Masculin
Date of Birth
7/14/51
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Fernand Taillefer
Zip Code
34500
City
Béziers
Country
FRA

Birth Delivery Location

Zip Code
45140
City
Saint-Jean-de-la-Ruelle
INSEE Code
45285
Country
FRA
Patient Identifiers
  • 0070895135133139660644^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55020^^^DDS&1.3.6.1.4.1.12559.11.49.3&ISO (PI)
  • 11124^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 151074528541194^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 151074528541194^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
bfc5486b-8c4a-4ee9-a38a-4190ccf8a7de
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Employés de commerce
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1951
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
  • 2024-03-13 09:45:13.713 - Patient has been created by amorel
  • 2024-03-13 09:45:13.851 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by amorel
Visit number
Patient status
Patient class
Last modified date
Action