Patient information

Honore Roger

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 5:23:54 PM (CEST GMT+0200)
First name
Honore
Last name
Roger
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
4/30/05
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Paul Cézanne
Zip Code
06700
City
Saint-Laurent-du-Var
Country
FRA
Patient Identifiers
  • ASIPSANTE-INSNIR&1.2.250.1.213.1.4.8&ISO^INS-NIR
Email
Account number
AN1604^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
09a7947f-e382-4ece-b725-8a89cec16e5f
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2005
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
  • 2021-07-26 17:25:59.654 - Patient has been created by dgranchi
  • 2021-07-26 17:25:59.749 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action