Patient information

Jerome Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/6/21 6:17:51 PM (CET GMT+0100)
First name
Jerome
Second Name
Jacky
Last name
Martin
Mother's maiden name
Muller
Gender
Masculin
Date of Birth
12/29/65
Marital status
Divorcé
Identity Reliability Code

Home

Country
FRA
Patient Identifiers
  • DDS-53841^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
Email
Account number
AN1373^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f9f00529-11fe-4c79-b404-33039bf9c6c3
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 1965
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-01-06 18:18:16.473 - Patient has been created
  • 2021-01-06 18:18:16.477 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action