Patient information

ROBERT BERNARD

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
5/16/24 2:55:56 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
Validé

Home

Street address line
Rue du Pont du Gât
Zip Code
26000
City
Valence
Country
FRA

Birth Delivery Location

Zip Code
66000
City
Perpignan
INSEE Code
66136
Country
FRA
Patient Identifiers
  • 1228018314061261866138^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54991^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11254^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2512^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f2f45f2e-ef29-4b73-a007-79656ad9e298
Socio-professional occupation
Employés
Socio-professional group
Professions intermédiaires administratives et commerciales des entreprises
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1993
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 14:56:11.725 - Patient has been created by tech.tilak
  • 2024-05-16 14:56:11.938 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A31^ADT_A05 message by tech.tilak
  • 2024-05-30 16:38:51.221 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A28^ADT_A05 message by tech.tilak
  • 2024-05-30 16:47:59.276 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A28^ADT_A05 message by tech.tilak
  • 2024-06-11 16:09:58.63 - 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