Patient information

Jacques Bernard

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
4/12/19 11:04:08 AM (CEST GMT+0200)
First name
Jacques
Last name
Bernard
Mother's maiden name
Dubois
Gender
Male
Date of Birth
1/26/79
Marital status
Identity Reliability Code

Home

Street address line
Rue de Lisbonne
Zip Code
62100
City
Calais
Country
FRA
Patient Identifiers
  • 1348191409721490068678^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-65412^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8843^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1979
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN9467^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN I 4/12/19 11:04:18 AM (CEST GMT+0200)
VN9467^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN DISCHARGED I 4/12/19 11:32:32 AM (CEST GMT+0200)