Patient information

TOUSSAINT MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/13/21 12:20:40 PM (CET GMT+0100)
First name
TOUSSAINT (TOUSSAINT)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
10/30/52
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de Reims
Zip Code
93160
City
Noisy-le-Grand
Country
FRA

Birth Delivery Location

Zip Code
35400
City
Saint-Malo
INSEE Code
35288
Country
FRA
Patient Identifiers
  • DDS-54306^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 152103528860876^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1793^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b472ab82-4c71-483a-83c2-c7a6fe294ce4
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Ouvriers non qualifiés de type artisanal
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1952
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
  • 2021-12-13 12:21:48.298 - Patient has been created
  • 2021-12-13 12:21:48.927 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
  • 2021-12-13 14:00:36.152 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action