Patient information

Antoine Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/6/21 4:17:33 PM (CEST GMT+0200)
First name
Antoine
Last name
Martin
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
2/26/84
Marital status
Identity Reliability Code
Provisoire

Address

Street address line
Chemin du Breuil
Zip Code
77380
City
Varennes-Jarcy
Country
FRA
Patient Identifiers
  • 1492681408994807228469^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54224^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1715^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f002db5d-404c-493f-a932-3c52d3f6b557
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
  • 2021-10-06 16:17:33.577 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-06 16:17:33.579 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action