Patient information

Chantal Marty

Simulated actor
Patient Demographic Supplier
Last modifier
zaki ziko
Last modified date
12/1/21 10:59:31 PM (CET GMT+0100)
First name
Chantal (Chantal)
Last name
Marty
Mother's maiden name
Lemarchand
Gender
Féminin
Date of Birth
1/23/41
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Rue de la Basse Île
Zip Code
44400
City
Rezé
Country
FRA
Patient Identifiers
  • 0150805985265693095330^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54289^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1775^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c04ba971-3d6e-48ba-a5bc-f302c1e8de55
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Commerçants et assimilés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1941
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
  • 2021-12-01 22:59:32.01 - Patient has been created by zaki
  • 2021-12-09 14:24:26.331 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message by zaki
  • 2021-12-13 14:19:17.362 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message by zaki
Visit number
Patient status
Patient class
Last modified date
Action