Patient information

BRUNO MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
3/31/22 3:31:41 PM (CEST GMT+0200)
First name
BRUNO (BRUNO)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
12/6/85
Marital status
Identity Reliability Code
Validé

Home

Street address line
Allée d'Estienne d'Orves
Zip Code
83110
City
Sanary-sur-Mer
Country
FRA

Birth Delivery Location

Zip Code
77124
City
Villenoy
INSEE Code
77513
Country
FRA
Patient Identifiers
  • 1720942196049317958828^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54375^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10727^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 185127751358638^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 185127751358638^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1856^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
303ae071-a374-42c4-9ae4-21c471a584c1
Socio-professional occupation
Employés
Socio-professional group
Contremaîtres, agents de maîtrise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1985
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
  • 2022-03-31 15:31:41.736 - Patient has been created by rudy.delepine
  • 2022-03-31 15:31:42.803 - Patient has been sent to SUT (v3from219 OGiRYS) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action