Patient information

LUCAS BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/29/24 4:51:01 PM (CEST GMT+0200)
First name
LUCAS (LUCAS)
Last name
BERNARD
Mother's maiden name
Parent
Gender
Masculin
Date of Birth
10/9/79
Marital status
Identity Reliability Code
Validé

Home

Street address line
Route des Moulins
Zip Code
75016
City
Paris
Country
FRA

Birth Delivery Location

Zip Code
95200
City
Sarcelles
INSEE Code
95585
Country
FRA
Patient Identifiers
  • 0699577020880455346248^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54656^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11047^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 179109558543536^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 179109558543536^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2176^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1bc1fad6-3539-4a9f-84fb-aca6cc7355ab
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Chefs d'entreprise de 10 salariés ou plus
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1979
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
  • 2024-07-29 16:51:01.904 - Patient has been created
  • 2024-07-29 16:51:01.933 - Patient has been sent to SUT (PAT ENSWEET) within a ADT^A47^ADT_A30 message
  • 2024-09-25 09:08:53.286 - Patient has been sent to SUT (PAT ENSWEET) within a ADT^A28^ADT_A05 message
  • 2024-09-25 09:11:28.711 - Patient has been sent to SUT (PAT ENSWEET) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action