Patient information

ADELINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Robin Brech
Last modified date
11/24/23 11:52:01 AM (CET GMT+0100)
First name
ADELINE (ADELINE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
8/24/14
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue du 8 Mai 1945
Zip Code
94400
City
Vitry-sur-Seine
Country
FRA

Birth Delivery Location

Zip Code
92400
City
Courbevoie
INSEE Code
92026
Country
FRA
Patient Identifiers
  • 214089202647565^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 214089202647565^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2396^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
936b0847-a67b-4dd4-8adb-0115140e603f
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Professions intermédiaires administratives de la fonction publique
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2014
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi

Ami

Name
Test Test test
Identifier
1234000
Role
Parent proche
Patient history
  • 2023-11-24 11:52:36.893 - Patient has been created by rbrech
  • 2023-11-24 11:52:38.586 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message by rbrech
Visit number
Patient status
Patient class
Last modified date
Action