Patient information

THOMAS MARTIN

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
8/5/21 4:11:37 PM (CEST GMT+0200)
First name
THOMAS (THOMAS)
Last name
MARTIN
Mother's maiden name
Garnier
Gender
Masculin
Date of Birth
10/26/70
Marital status
Identity Reliability Code
Validé

Home

Street address line
Allée Jean Nollet
Zip Code
59250
City
Halluin
Country
FRA

Birth Delivery Location

Zip Code
62300
City
Lens
INSEE Code
62498
Country
FRA
Patient Identifiers
  • 10588^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 170106249822121^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 170106249822121^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1638^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
588d6e10-da28-437c-adc5-71a1897cb5df
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1970
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
Visit number
Patient status
Patient class
Last modified date
Action
VN2687^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 8/5/21 4:11:43 PM (CEST GMT+0200)