Patient information

OLIVIER ROCHE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
9/20/21 11:49:37 AM (CEST GMT+0200)
First name
OLIVIER (OLIVIER)
Last name
ROCHE
Mother's maiden name
Lefebvre
Gender
Masculin
Date of Birth
6/16/45
Marital status
Identity Reliability Code
Validé

Address

Street address line
Rue Molière
Zip Code
49300
City
Cholet
Country
FRA

Birth Delivery Location

Zip Code
57500
City
Saint-Avold
INSEE Code
57606
Country
FRA
Patient Identifiers
  • 10629^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 145065760632213^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 145065760632213^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1689^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fa66dd91-15db-41f7-b488-3edbbba93d2c
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-09-20 11:49:37.393 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-09-20 11:49:37.396 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action