Patient information

Blandine Boulc'h

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/24/21 11:29:15 AM (CEST GMT+0200)
First name
Blandine
Last name
Boulc'h
Mother's maiden name
Balavoine
Gender
Féminin
Date of Birth
2/12/52
Marital status
Marié
Identity Reliability Code

Home

Street address line
Rue de Paris
Zip Code
94340
City
Joinville-le-Pont
Country
FRA

Home

Patient Identifiers
  • OXY-IPP-0002^^^MCK&1.2.250.1.255.10.200.1&L (PI)
Email
Account number
AN0002^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4278f860-b3b9-455d-9a03-e6b69a4ce6b3
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1942
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
  • 2021-06-24 11:29:15.277 - Patient has been created
  • 2021-06-24 11:29:29.827 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action