Patient information

BENJAMINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Rudy Delepine
Last modified date
11/16/22 9:50:48 AM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
BENJAMINE (BENJAMINE)
Last name
MARTIN
Mother's maiden name
Olivier
Gender
Féminin
Date of Birth
12/12/63
Marital status
Identity Reliability Code
Validé

Home

Street address line
D 606
Zip Code
77300
City
Fontainebleau
Country
FRA

Birth Delivery Location

Zip Code
76120
City
Le Grand-Quevilly
INSEE Code
76322
Country
FRA
Patient Identifiers
  • 0421069806726555553667^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54469^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10770^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 263127632227850^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 263127632227850^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1946^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b42f2099-dc1b-426a-9123-d297886660b5
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Chauffeurs
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1963
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
  • 2022-11-16 09:51:08.044 - Patient has been created by rudy.delepine
  • 2022-11-16 09:51:10.966 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-11-16 10:59:24.72 - Patient has been sent to SUT (itgdsr OGiRYS) within a ADT^A28^ADT_A05 message by rudy.delepine
  • 2022-12-01 11:16:01.183 - Patient has been changed Id patient #31484 by rudy.delepine
Visit number
Patient status
Patient class
Last modified date
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