Patient information

ISABEL MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/7/22 12:03:55 PM (CET GMT+0100)
First name
ISABEL (ISABEL)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
6/15/45
Marital status
Identity Reliability Code
Validé

Home

Street address line
Quai des Corsaires
Zip Code
35400
City
Saint-Malo
Country
FRA

Birth Delivery Location

Zip Code
13800
City
Istres
INSEE Code
13047
Country
FRA
Patient Identifiers
  • 1198415092845087863941^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54340^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10716^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 245061304746329^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 245061304746329^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1825^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a1717102-2cf7-47a9-8e12-02a8ba9c798d
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Contremaîtres, agents de maîtrise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1945
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
  • 2022-01-07 12:04:10.156 - Patient has been created
  • 2022-01-07 12:04:10.352 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
  • 2022-04-07 13:52:39.43 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
  • 2022-04-07 13:56:35.784 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action