Patient information

Donatien Martin

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
6/27/22 5:49:34 PM (CEST GMT+0200)
First name
Donatien
Last name
Martin
Mother's maiden name
Lemoine
Gender
Masculin
Date of Birth
5/6/02
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Avenue Pasteur
Zip Code
92430
City
Marnes-la-Coquette
Country
FRA
Patient Identifiers
  • 1638384632175423650002^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54423^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1904^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
aaefb826-a2d6-4bae-9691-1fd7b799c04b
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
  • 2022-06-27 17:49:34.187 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2022-06-27 17:49:34.189 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action