Patient information

Mariette Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
6/18/21 3:34:42 PM (CEST GMT+0200)
First name
Mariette
Last name
Martin
Mother's maiden name
Dumas
Gender
Féminin
Date of Birth
4/20/70
Marital status
Identity Reliability Code

Home

Street address line
Rue Marcel Longuet
Zip Code
37550
City
Saint-Avertin
Country
FRA
Patient Identifiers
  • 1035247222666179294334^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54021^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1526^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4294672b-0267-4ac1-82f7-0b32f3488248
Socio-professional occupation
Socio-professional group
Lunar Date
- -
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-18 15:34:42.537 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-06-18 15:34:42.539 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action