Patient information

SIMONE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Yohann Poiron
Last modified date
6/21/22 4:23:37 PM (CEST GMT+0200)
First name
SIMONE (SIMONE)
Last name
MARTIN
Mother's maiden name
Bertin
Gender
Féminin
Date of Birth
2/4/06
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Désiré Walter
Zip Code
69400
City
Villefranche-sur-Saône
Country
FRA

Birth Delivery Location

Zip Code
64600
City
Anglet
INSEE Code
64024
Country
FRA
Patient Identifiers
  • 1532739103716907883029^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54408^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10753^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 206026402414354^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 206026402414354^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1889^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e0d084e5-5de3-4e5d-9621-1cc46ff11335
Socio-professional occupation
Employés
Socio-professional group
Professions libérales
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2006
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
  • 2022-06-21 16:24:15.699 - Patient has been created by ypoiron
  • 2022-06-21 16:24:15.851 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by ypoiron
Visit number
Patient status
Patient class
Last modified date
Action