Patient information

Papillion Bernard

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
5/31/24 6:48:31 PM (CEST GMT+0200)
First name
Papillion (Papillion)
Last name
Bernard
Mother's maiden name
Jamet
Gender
Masculin
Date of Birth
3/12/94
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue de Tourville
Zip Code
78100
City
Saint-Germain-en-Laye
Country
FRA
Patient Identifiers
  • 0255385625447890073833^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54996^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
Email
Account number
AN2517^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
39260337-8b72-42c0-881a-1013f3491f70
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1994
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
  • 2024-05-31 18:55:05.951 - Patient has been created by tech.tilak
  • 2024-05-31 19:02:55.663 - 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