Patient information

Beatrice Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
3/23/23 3:26:10 PM (CET GMT+0100)
First name
Beatrice
Last name
Martin
Mother's maiden name
Herisson
Gender
Féminin
Date of Birth
8/29/13
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Chemin des Bourdines
Zip Code
93100
City
Montreuil
Country
FRA
Patient Identifiers
  • 10854^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2071^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b5a8f315-6f5d-4b78-87ba-eb5e9723d7ff
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
  • 2023-03-23 15:26:10.315 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2023-03-23 15:26:10.317 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action