Patient information

Gervaise Bernard

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
8/3/21 2:21:46 PM (CEST GMT+0200)
First name
Gervaise
Last name
Bernard
Mother's maiden name
Martin
Gender
Female
Date of Birth
3/2/06
Marital status
Identity Reliability Code

Home

Street address line
Avenue Puget
Zip Code
78600
City
Maisons-Laffitte
Country
FRA
Patient Identifiers
  • 1155186111075993012373^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72537^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10561^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
994aef03-c2c6-4ab5-9c39-5ec87f24bb07
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2006
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
  • 2021-08-03 14:21:49.971 - Patient has been created by m.trabace
  • 2021-08-03 14:21:55.091 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action