Patient information

GRATIEN MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Clotaire Delanchy
Last modified date
9/21/22 2:36:52 PM (CEST GMT+0200)
First name
GRATIEN (GRATIEN)
Last name
MARTIN
Mother's maiden name
Blanche
Gender
Masculin
Date of Birth
11/14/10
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue des Bas Tillets
Zip Code
92310
City
Sèvres
Country
FRA

Birth Delivery Location

Zip Code
54520
City
Laxou
INSEE Code
54304
Country
FRA
Patient Identifiers
  • 1620549121882939581934^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54332^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10708^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 110115430450004^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 110115430450004^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1817^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
745d3300-4fe6-4206-b59c-fecdf12dda5f
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Anciens employés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2010
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
  • 2022-09-21 14:37:03.246 - Patient has been created by cdelanchy
  • 2022-09-21 14:37:03.486 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A31^ADT_A05 message by cdelanchy
  • 2022-11-15 16:29:42.035 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by cdelanchy
Visit number
Patient status
Patient class
Last modified date
Action