Patient information

LAURENTINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Aurélie Crouzet
Last modified date
7/8/22 9:52:51 AM (CEST GMT+0200)
First name
LAURENTINE (LAURENTINE)
Last name
MARTIN
Mother's maiden name
Petit
Gender
Féminin
Date of Birth
6/16/02
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue André Guillemain
Zip Code
18100
City
Vierzon
Country
FRA

Birth Delivery Location

Zip Code
78190
City
Trappes
INSEE Code
78621
Country
FRA
Patient Identifiers
  • 0273457899589816384782^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54429^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10759^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 202067862154752^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 202067862154752^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1910^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d0feb56b-8d08-4cb0-a796-e963897b4414
Socio-professional occupation
Ouvriers
Socio-professional group
Artisans
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2002
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
  • 2022-07-08 09:53:17.478 - Patient has been created by acrouzet
  • 2022-07-08 09:53:17.601 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by acrouzet
Visit number
Patient status
Patient class
Last modified date
Action