Patient information

Juste Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Adrien Pécot
Last modified date
1/6/23 10:06:06 AM (CET GMT+0100)
First name
Juste (Juste)
Last name
Martin
Mother's maiden name
Dubois
Gender
Masculin
Date of Birth
10/11/44
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue du Rozier
Zip Code
42100
City
Saint-Étienne
Country
FRA

Birth Delivery Location

Zip Code
33000
City
Bordeaux
INSEE Code
33000
Country
FRA
Patient Identifiers
  • 1378751809406816419039^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54543^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2020^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fdcc2198-68de-41a3-b277-6ee348dbcc0e
Socio-professional occupation
Retraités
Socio-professional group
Ouvriers qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1944
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
  • 2023-01-06 10:06:32.361 - Patient has been created by apecotv2
  • 2023-01-06 10:06:32.472 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by apecotv2
Visit number
Patient status
Patient class
Last modified date
Action