Patient information

Roxane Dumas

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
9/13/21 5:37:46 PM (CEST GMT+0200)
First name
Roxane
Last name
Dumas
Mother's maiden name
Martin
Gender
Female
Date of Birth
6/5/73
Marital status
Identity Reliability Code

Home

Street address line
Avenue Robert Schuman
Zip Code
88000
City
Épinal
Country
FRA
Patient Identifiers
  • 5714^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10615^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
09c3dfed-b7db-4894-bdfd-9b6869d230f0
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1973
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
  • 2021-09-13 17:37:48.266 - Patient has been created
  • 2022-08-31 10:44:56.928 - Patient has been sent to SUT (IF ECM) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action