Patient information

PROSPER MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/26/24 5:31:34 PM (CET GMT+0100)
First name
PROSPER (PROSPER)
Last name
MARTIN
Mother's maiden name
Robert
Gender
Masculin
Date of Birth
5/20/97
Marital status
Identity Reliability Code
Validé

Home

Street address line
Allée du Bord de l'Eau
Zip Code
75016
City
Paris
Country
FRA

Birth Delivery Location

Zip Code
93200
City
Saint-Denis
INSEE Code
93066
Country
FRA
Patient Identifiers
  • 1636894093516065361449^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55039^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11148^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 197059306633554^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 197059306633554^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2495^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
83afeab3-a6f7-4418-8189-6436b64dfeb2
Socio-professional occupation
Retraités
Socio-professional group
Professions libérales
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1997
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
  • 2024-02-26 17:31:52.008 - Patient has been created
  • 2024-02-26 17:32:07.893 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action