Patient information

ROGER BLANCHARD

Simulated actor
Patient Demographic Supplier
Last modifier
Andy Pilate
Last modified date
3/4/24 3:30:17 PM (CET GMT+0100)
First name
ROGER (ROGER)
Last name
BLANCHARD
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/5/10
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Henri Barbusse
Zip Code
50100
City
Cherbourg-en-Cotentin
Country
FRA

Birth Delivery Location

Zip Code
95300
City
Pontoise
INSEE Code
95500
Country
FRA
Patient Identifiers
  • 1760424794879074600985^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55043^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11152^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 110049550047709^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 110049550047709^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2499^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
3cc56d8b-803d-4e30-ba03-5ca94fe34928
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Personnes diverses sans activité professionnelle de moins de 60 ans (sauf retraités)
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2010
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
  • 2024-03-04 15:30:21.374 - Patient has been created by andy.pilate
  • 2024-03-04 15:30:21.425 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message by andy.pilate
  • 2024-03-04 17:22:46.936 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message by andy.pilate
Visit number
Patient status
Patient class
Last modified date
Action