Patient information

Evariste Gimenez

Simulated actor
Patient Demographic Supplier
Last modifier
Christophe DEJAEGHER
Last modified date
9/25/23 10:02:12 AM (CEST GMT+0200)
First name
Evariste
Last name
Gimenez
Mother's maiden name
Herisson
Gender
Male
Date of Birth
8/4/78
Marital status
Identity Reliability Code

Home

Street address line
Rue des Artisans
Zip Code
93160
City
Noisy-le-Grand
Country
FRA
Patient Identifiers
  • 1290095866649657233477^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74147^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3310^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3310^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3310^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3310^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN11757^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b195933a-5c94-404d-81ce-06001dfac728
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1978
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
  • 2023-09-25 10:02:20.434 - Patient has been created by cdtelemis
  • 2023-09-25 10:02:20.598 - Patient has been sent to SUT (Pacs_Telemis Telemis) within a ADT^A28^ADT_A05 message by cdtelemis
  • 2023-09-25 10:09:41.17 - Patient has been sent to SUT (Pacs_Telemis Telemis) within a ADT^A28^ADT_A05 message by cdtelemis
Visit number
Patient status
Patient class
Last modified date
Action