Patient information

Jerome Potier

Simulated actor
Patient Demographic Supplier
Last modifier
dave timperman
Last modified date
7/30/25 10:37:41 AM (CEST GMT+0200)
First name
Jerome (Jerome)
Last name
Potier
Mother's maiden name
Lecomte
Gender
Masculin
Date of Birth
9/11/95
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Genève
Zip Code
68300
City
Saint-Louis
Country
FRA
Patient Identifiers
  • 1221161555325937147353^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55040^^^DDS&1.3.6.1.4.1.12559.11.49.3&ISO (PI)
Email
Account number
AN2473^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8154a90b-4dcc-49b1-abc7-e083ab6bb10b
Socio-professional occupation
Retraités
Socio-professional group
Contremaîtres, agents de maîtrise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1995
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
  • 2025-07-30 10:38:24.645 - Patient has been created by fde08ba7-8aad-4bf6-b364-7ada6994eede
  • 2025-07-30 10:38:24.772 - Patient has been sent to SUT (Reeducation Reeducation) within a ADT^A28^ADT_A05 message by fde08ba7-8aad-4bf6-b364-7ada6994eede
Visit number
Patient status
Patient class
Last modified date
Action