Patient information

ROBERT BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
5/16/24 2:46:40 PM (CEST GMT+0200)
First name
ROBERT (ROBERT)
Last name
BERNARD
Mother's maiden name
Philibert
Gender
Masculin
Date of Birth
1/1/93
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Route de Dreux
Zip Code
78190
City
Trappes
Country
FRA
Patient Identifiers
  • 1120524621481142036755^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54992^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
Email
Account number
AN2513^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
496a1b6f-9b67-40c9-a4bd-494c171c4c17
Socio-professional occupation
Ouvriers
Socio-professional group
Ouvriers agricoles
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1969
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
  • 2024-05-16 14:50:16.877 - Patient has been created by tech.tilak
  • 2024-05-16 14:50:17.039 - 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