Patient information

Nazaire Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Adrien Pécot
Last modified date
1/6/23 10:01:54 AM (CET GMT+0100)
First name
Nazaire (Nazaire)
Last name
Martin
Mother's maiden name
Vasseur
Gender
Masculin
Date of Birth
12/3/53
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue du Cimetière
Zip Code
77290
City
Mitry-Mory
Country
FRA

Birth Delivery Location

Street address line
Rue de la paix
Zip Code
35000
City
Rennes
Country
France
Patient Identifiers
  • 0930018439792643805378^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54541^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2018^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5878f7b9-4b0b-4802-bf02-c581d7e40a00
Socio-professional occupation
Ouvriers
Socio-professional group
Anciens employés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1953
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
  • 2023-01-06 10:03:02.068 - Patient has been created by apecotv2
  • 2023-01-06 10:03:02.167 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by apecotv2
Visit number
Patient status
Patient class
Last modified date
Action