Patient information

FLORENTIN MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/13/21 12:23:55 PM (CET GMT+0100)
First name
FLORENTIN (FLORENTIN)
Last name
MARTIN
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
12/12/17
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue du Docteur Claude Bernard
Zip Code
93600
City
Aulnay-sous-Bois
Country
FRA

Birth Delivery Location

Zip Code
08200
City
Sedan
INSEE Code
08409
Country
FRA
Patient Identifiers
  • 10686^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 117120840984642^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 117120840984642^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1794^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
00bb5217-9850-4e15-908f-c8fe8dc42d00
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Professeurs, professions scientifiques
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2017
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
  • 2021-12-13 12:24:22.064 - Patient has been created
  • 2021-12-13 12:24:22.651 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action