Patient information

Pico Bogue

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/16/21 11:33:42 AM (CEST GMT+0200)
First name
Pico
Last name
Bogue
Gender
Masculin
Date of Birth
12/27/91
Marital status
Identity Reliability Code

Home

Street address line
Rue des Béatus
Zip Code
93800
City
Épinay-sur-Seine
Country
FRA
Patient Identifiers
  • 1546890640100751308705^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54058^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1562^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9c3f1a0e-aa0d-4a89-8d27-ec5e4126d061
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1991
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
  • 2021-07-16 11:34:01.836 - Patient has been created
  • 2021-07-16 11:34:01.976 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action