Patient information

ESTHER MARTIN

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_PAM_FR
Last modified date
2/15/24 4:44:09 PM (CET GMT+0100)
First name
ESTHER (ESTHER)
Last name
MARTIN
Mother's maiden name
Thomas
Gender
Féminin
Date of Birth
5/7/55
Marital status
Identity Reliability Code
Validé

Home

Street address line
Chemin de la Beaune
Zip Code
17300
City
Rochefort
Country
FRA

Birth Delivery Location

Zip Code
57700
City
Hayange
INSEE Code
57306
Country
FRA
Patient Identifiers
  • 1474510720324485578576^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55032^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 255055730603514^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 255055730603514^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2488^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5a726df2-3851-405a-9b97-9b72eb2e8b89
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
  • 2024-02-15 16:44:09.474 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-02-15 16:44:09.477 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action