Patient information

Vincent Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
7/30/21 9:29:09 AM (CEST GMT+0200)
First name
Vincent
Last name
Martin
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
3/18/52
Marital status
Identity Reliability Code

Home

Street address line
Torrent de Chandelières
Zip Code
38240
City
Meylan
Country
FRA
Patient Identifiers
  • 0176202978390961162077^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54113^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1617^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fc008bcc-ded8-4e39-9e98-c818fbb39cdf
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
  • 2021-07-30 09:29:09.362 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-07-30 09:29:09.363 - Patient has been created
  • 2021-07-30 09:29:59.91 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action
VN2673^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 7/30/21 11:06:47 AM (CEST GMT+0200)