Patient information

Richard Brunel

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/23/21 2:45:58 PM (CET GMT+0100)
First name
Richard
Last name
Brunel
Mother's maiden name
Martin
Gender
Male
Date of Birth
9/17/54
Marital status
Identity Reliability Code

Home

Street address line
A 15
Zip Code
95000
City
Pontoise
Country
FRA
Patient Identifiers
  • 1235653176675580973864^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-71814^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3144^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3144^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3144^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3144^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN10003^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3d57c11d-d84b-492e-9745-a244bf53b200
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1954
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
  • 2021-02-23 14:46:09.759 - Patient has been created
  • 2021-02-23 14:46:10.061 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action