Patient information

HERCULE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/7/21 4:40:20 PM (CEST GMT+0200)
First name
HERCULE (HERCULE)
Last name
MARTIN
Mother's maiden name
Boucher
Gender
Masculin
Date of Birth
5/6/79
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Docteur Schweitzer
Zip Code
83160
City
La Valette-du-Var
Country
FRA

Birth Delivery Location

Zip Code
78990
City
Élancourt
INSEE Code
78208
Country
FRA
Patient Identifiers
  • 1474468011300222561538^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
Email
Account number
AN1716^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
29feff6e-f4d6-4500-8c21-e17ca81f0482
Socio-professional occupation
Retraités
Socio-professional group
Clergé, religieux
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1979
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
  • 2021-10-07 16:41:22.951 - Patient has been created
  • 2021-10-07 16:41:23.102 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action