Patient information

Sebastien Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
8/5/21 5:06:28 PM (CEST GMT+0200)
First name
Sebastien
Last name
Martin
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/10/95
Marital status
Identity Reliability Code

Home

Street address line
Rue du Peuplier
Zip Code
68000
City
Colmar
Country
FRA
Patient Identifiers
  • 10596^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN1646^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2a56835c-7ed2-4dc4-8994-025bd3c864fa
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-08-05 17:06:28.838 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-08-05 17:06:28.839 - Patient has been created
  • 2021-08-05 17:10:20.193 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action
VN2693^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 8/5/21 5:07:08 PM (CEST GMT+0200)