Patient information

LEONTINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
3/13/24 4:44:22 PM (CET GMT+0100)
First name
LEONTINE (LEONTINE)
Last name
MARTIN
Mother's maiden name
Leroy
Gender
Féminin
Date of Birth
9/7/73
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue de la Roche
Zip Code
86000
City
Poitiers
Country
FRA

Birth Delivery Location

Zip Code
78220
City
Viroflay
INSEE Code
78686
Country
FRA
Patient Identifiers
  • 11067^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2362^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1318bc69-adff-4071-9ccd-dd8f31079998
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Personnels des services directs aux particuliers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1973
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
  • 2024-03-13 16:44:22.485 - Patient has been created by cdelanchy
  • 2024-03-13 16:44:22.55 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action