Patient information

Leonardo Leroy

Simulated actor
Patient Identity Source
Last modifier
Anne-Gaëlle Bergé
Last modified date
3/18/21 4:50:54 PM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
Leonardo
Last name
Leroy
Mother's maiden name
Leroy
Gender
M
Date of Birth
9/27/92
Marital status
Identity Reliability Code

Home

Street address line
Avenue de la République
Zip Code
52100
City
Saint-Dizier
Country
FRA
Patient Identifiers
  • DDS-71940^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10063^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a8d8474c-b238-4420-9af3-3e32e61869d2
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1992
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
  • 2021-03-18 16:51:09.842 - Patient has been created by aberge
  • 2021-03-18 16:51:09.844 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201302UV02 message by aberge
  • 2021-03-18 16:52:15.948 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201304UV02 message
  • 2021-06-01 20:39:51.62 - Patient has been merged with patient #14515
Visit number
Patient status
Patient class
Last modified date
Action
VN12668^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 4/6/21 10:31:00 AM (CEST GMT+0200)