Patient information

Fabiola Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/6/23 4:40:28 PM (CET GMT+0100)
First name
Fabiola (Fabiola)
Last name
Martin
Mother's maiden name
Leroy
Gender
Féminin
Date of Birth
6/29/18
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Avenue de Paris
Zip Code
95230
City
Soisy-sous-Montmorency
Country
FRA

Birth Delivery Location

Zip Code
22190
City
Plérin
INSEE Code
22190
Country
FRA
Patient Identifiers
  • 1253296272944596493810^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54547^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN2024^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c97970e4-d62c-4c18-bcee-0e703387794b
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Policiers et militaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2018
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 16:41:11.941 - Patient has been created
  • 2023-01-06 16:41:12.033 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action