Patient information

Mirabelle Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/22/21 9:52:12 AM (CET GMT+0100)
First name
Mirabelle
Last name
Martin
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
11/11/77
Marital status
Célibataire
Identity Reliability Code
Validé

Home

Country
FRA
Patient Identifiers
  • DDS-53856^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1381^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a4fb7411-62da-4dce-b3e6-bc0a1ac2a02a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1977
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
  • 2021-01-22 09:53:57.679 - Patient has been created
  • 2021-01-22 09:53:58.13 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action