Patient information

VALENTINE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/23/21 4:05:50 PM (CET GMT+0100)
First name
VALENTINE (VALENTINE)
Last name
MARTIN
Mother's maiden name
Thevenet
Gender
F
Date of Birth
2/22/71
Marital status
Identity Reliability Code
VALI

Home

Street address line
Ruelle du Pin
Zip Code
95160
City
Montmorency
Country
FRA

Birth Delivery Location

Zip Code
17100
City
Saintes
INSEE Code
17415
Country
FRA
Patient Identifiers
  • 1248965849560055287073^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54287^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10678^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 271021741564568^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 271021741564568^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1773^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c22d396c-0913-4365-8966-462ee8987439
Socio-professional occupation
8
Socio-professional group
74
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1971
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
  • 2021-11-23 16:06:05.88 - Patient has been created
  • 2021-11-23 16:06:05.985 - Patient has been sent to SUT (GCS GCSEAI) within a ADT^A28^ADT_A05 message
  • 2021-12-13 12:25:44.457 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action