Patient information

Perceval Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Dorian Granchi
Last modified date
7/26/21 4:40:35 PM (CEST GMT+0200)
First name
Perceval
Last name
Martin
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
8/26/63
Marital status
Identity Reliability Code

Home

Street address line
Rue Aimé Logier
Zip Code
95400
City
Villiers-le-Bel
Country
FRA
Patient Identifiers
  • 0724921433816884808734^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54098^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10572^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1602^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
aa30deff-802a-4144-89e7-fc1e89876c44
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 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
  • 2021-07-26 16:40:40.4 - Patient has been created by dgranchi
  • 2021-07-26 16:40:40.478 - Patient has been sent to SUT (GXD5 GXD5) within a ADT^A28^ADT_A05 message by dgranchi
Visit number
Patient status
Patient class
Last modified date
Action