Patient information

HERCULE MARTIN

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/7/21 4:41:23 PM (CEST GMT+0200)
First name
HERCULE (HERCULE)
Last name
MARTIN
Mother's maiden name
Boucher
Gender
Masculin
Date of Birth
5/6/79
Marital status
Identity Reliability Code
Validé

Address

Street address line
Avenue Docteur Schweitzer
Zip Code
83160
City
La Valette-du-Var
Country
FRA

Address

Zip Code
78990
City
Élancourt
Country
FRA

Birth Delivery Location

INSEE Code
78208
Country
FRA
Patient Identifiers
  • 1474468011300222561538^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
Email
Account number
AN1716^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
84ec8405-b69d-4cd9-9d51-6196ce394f8a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-10-07 16:41:23.059 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-07 16:41:23.061 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action