Patient information

Benjamine Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 5:46:04 PM (CEST GMT+0200)
First name
Benjamine
Last name
Martin
Mother's maiden name
Meunier
Gender
Féminin
Date of Birth
12/4/39
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Gabriel Péri
Zip Code
59430
City
Dunkirk
Country
FRA
Patient Identifiers
  • DDS-54103^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10557^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^INS-NIR (INS)
Email
Account number
AN1607^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
455f4a77-f0e2-4e08-aa62-bb2cb3591786
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1939
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 17:48:24.905 - Patient has been created by dgranchi
  • 2021-07-26 17:48:24.998 - 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