Patient information

PASCHAL GIRAUD

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
6/11/24 4:51:46 PM (CEST GMT+0200)
First name
PASCHAL (PASCHAL)
Last name
GIRAUD
Mother's maiden name
Leroy
Gender
Masculin
Date of Birth
6/27/47
Marital status
Identity Reliability Code
Validé

Home

Street address line
Quai des Marans
Zip Code
71000
City
Mâcon
Country
FRA

Birth Delivery Location

Zip Code
95160
City
Montmorency
INSEE Code
95428
Country
FRA
Patient Identifiers
  • 1705090218050856816340^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55005^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11261^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 147069542838889^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 147069542838889^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2526^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
48ef5430-0455-4097-8839-80d585e92711
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1947
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
  • 2024-06-11 16:51:57.886 - Patient has been created by tech.tilak
  • 2024-06-11 16:51:58.166 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A28^ADT_A05 message by tech.tilak
Visit number
Patient status
Patient class
Last modified date
Action