Patient information

LEON MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/13/21 12:26:56 PM (CET GMT+0100)
First name
LEON (LEON)
Last name
MARTIN
Mother's maiden name
Bernard
Gender
Masculin
Date of Birth
9/11/55
Marital status
Identity Reliability Code
Validé

Home

Street address line
Boulevard Victor Schœlcher
Zip Code
44400
City
Rezé
Country
FRA

Birth Delivery Location

Zip Code
33600
City
Pessac
INSEE Code
33318
Country
FRA
Patient Identifiers
  • 0293576918596467080828^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54308^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10687^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 155093331853216^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 155093331853216^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1795^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bf74cfd1-3c86-4354-8348-013025e2d40b
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Agriculteurs sur moyenne exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1955
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
  • 2021-12-13 12:27:28.987 - Patient has been created
  • 2021-12-13 12:27:29.6 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
  • 2021-12-13 12:28:39.226 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
  • 2021-12-13 13:57:58.191 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
  • 2021-12-13 14:44:16.933 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2021-12-13 14:45:05.37 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action