Patient information

Prosper Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/16/21 11:21:54 AM (CEST GMT+0200)
First name
Prosper
Last name
Martin
Mother's maiden name
Vincent
Gender
Masculin
Date of Birth
8/2/70
Marital status
Identity Reliability Code

Home

Street address line
Rue des Pins
Zip Code
56270
City
Plœmeur
Country
FRA
Patient Identifiers
  • 1420544361107625167676^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-54057^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1561^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
091a3eb4-fd62-4da4-be46-5476f443f024
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1970
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
  • 2021-07-16 11:21:57.542 - Patient has been created
  • 2021-07-16 11:21:57.65 - 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