Patient information

VIENNE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/1/22 11:31:12 AM (CET GMT+0100)
First name
VIENNE (VIENNE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
6/15/84
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Francisco Ferrer
Zip Code
69600
City
Oullins
Country
FRA

Birth Delivery Location

Zip Code
77190
City
Dammarie-les-Lys
INSEE Code
77152
Country
FRA
Patient Identifiers
  • DDS-54478^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10775^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 284067715264542^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 284067715264542^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1955^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c3ae4cf0-f998-4a56-ae01-826dfcd7bf70
Socio-professional occupation
Employés
Socio-professional group
Ingénieurs et cadres techniques d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1984
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
  • 2022-12-01 11:31:12.267 - Patient has been created by rudy.delepine
  • 2022-12-01 11:31:13.205 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action