Patient information

JULES MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/22/21 11:28:41 AM (CET GMT+0100)
First name
JULES (JULES)
Last name
MARTIN
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
12/24/37
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Chopin
Zip Code
62800
City
Liévin
Country
FRA

Birth Delivery Location

Zip Code
93100
City
Montreuil
INSEE Code
62588
Country
FRA
Patient Identifiers
  • 1052155168205681781834^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54329^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10705^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 137126258888354^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 137126258888354^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1814^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4b102127-a69d-4e6f-8431-34ef174b9083
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Employés de commerce
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1937
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
  • 2021-12-22 11:30:21.245 - Patient has been created
  • 2021-12-22 11:30:36.363 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action