Patient information

Leandre Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
1/31/23 4:02:20 PM (CET GMT+0100)
First name
Leandre
Last name
Martin
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
6/7/58
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Sentier des Fosses Rouges
Zip Code
92240
City
Malakoff
Country
FRA
Patient Identifiers
  • 0678774618216921936749^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54565^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2042^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ec9756c8-f0b5-4305-935e-164a366ddd1a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2023-01-31 16:02:20.62 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2023-01-31 16:02:20.621 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action