Patient information

Christelle Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 5:54:30 PM (CEST GMT+0200)
First name
Christelle
Last name
Martin
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
7/1/54
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Montesquieu
Zip Code
80000
City
Amiens
Country
FRA
Patient Identifiers
  • 0700248175308417365810^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54104^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1608^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4f28984b-9cc9-412d-834b-e981069ccd3a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1954
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
  • 2021-07-26 18:02:55.065 - Patient has been created by dgranchi
  • 2021-07-26 18:02:55.165 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action