Patient information

Roselle Bourdon

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/10/20 4:10:23 PM (CET GMT+0100)
First name
Roselle
Last name
Bourdon
Mother's maiden name
Pierre
Gender
Female
Date of Birth
6/14/87
Marital status
Identity Reliability Code

Home

Street address line
Route du Pourfouet
Zip Code
44500
City
La Baule-Escoublac
Country
FRA
Patient Identifiers
  • 5560^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9656^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2a574a58-1085-4d59-9bdb-a27b90d4c05e
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1987
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
  • 2020-11-10 16:10:26.007 - Patient has been created
  • 2020-11-10 16:10:32.8 - Patient has been sent to SUT (nuvyta-facility nuvyta-application) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action