Patient information

ROXANE GILLET

Simulated actor
Patient Demographic Supplier
Last modifier
Ines MKACHER
Last modified date
12/14/22 5:10:16 PM (CET GMT+0100)
First name
ROXANE (ROXANE)
Last name
GILLET
Mother's maiden name
Bernard
Gender
Féminin
Date of Birth
7/6/81
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue de l'Europe
Zip Code
54520
City
Laxou
Country
FRA

Birth Delivery Location

Zip Code
94140
City
Alfortville
INSEE Code
94002
Country
FRA
Patient Identifiers
  • 0843343786468734208578^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54523^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10811^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 281079400280017^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 281079400280017^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2000^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
184a0d59-a88c-45f4-b3b8-7414c96cf9e5
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Personnes diverses sans activité professionnelle de 60 ans et plus (sauf retraités)
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1981
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
  • 2022-12-14 17:10:25.864 - Patient has been created by ines.mkacher
  • 2022-12-14 17:10:28.734 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-14 17:22:57.286 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
  • 2022-12-14 17:24:57.283 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by ines.mkacher
Visit number
Patient status
Patient class
Last modified date
Action