Patient information

Valery Olivier

Simulated actor
Patient Demographic Supplier
Last modifier
Malo Toudic
Last modified date
7/15/21 10:33:03 AM (CEST GMT+0200)
First name
Valery
Last name
Olivier
Mother's maiden name
Herisson
Gender
Male
Date of Birth
4/11/47
Marital status
Identity Reliability Code

Home

Street address line
Rue Léon Mure
Zip Code
04100
City
Manosque
Country
FRA
Patient Identifiers
  • 0088930653153591837007^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72522^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 5712^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10555^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bf0c47a8-6924-4c85-9308-a70a490501c8
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1947
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
  • 2021-07-15 10:33:12.385 - Patient has been created by mtoudic
  • 2021-07-15 10:33:12.445 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message by mtoudic
  • 2021-07-22 15:14:49.356 - 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