Patient information

SEVERINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
11/2/21 5:56:40 PM (CET GMT+0100)
First name
SEVERINE (SEVERINE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
11/9/72
Marital status
Identity Reliability Code
Validé

Home

Street address line
Chemin de Baron
Zip Code
32000
City
Auch
Country
FRA

Birth Delivery Location

Zip Code
45500
City
Gien
INSEE Code
45155
Country
FRA
Patient Identifiers
  • 10669^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 272114515528402^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1757^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9a269f65-20f8-442b-9588-b0d54acc9148
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Agriculteurs sur grande exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1972
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
  • 2021-11-02 17:57:21.491 - Patient has been created by dgranchi
  • 2021-11-02 17:57:21.583 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action