Patient information

GILLES MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Robin Brech
Last modified date
12/28/23 2:26:22 PM (CET GMT+0100)
First name
GILLES (GILLES)
Last name
MARTIN
Mother's maiden name
Thomas
Gender
Masculin
Date of Birth
4/22/79
Marital status
Identity Reliability Code
Validé

Home

Street address line
Grand'Rue
Zip Code
67500
City
Haguenau
Country
FRA

Birth Delivery Location

Zip Code
71000
City
Mâcon
INSEE Code
71270
Country
FRA
Patient Identifiers
  • 11133^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 179047127046418^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 179047127046418^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2471^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b9cbd706-ce2c-4281-bf46-edb0022d877e
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Ouvriers non qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1979
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
  • 2023-12-28 14:26:25.2 - Patient has been created by rbrech
  • 2023-12-28 14:26:26.016 - Patient has been sent to SUT (Cortex-Care Cortex-Care) within a ADT^A28^ADT_A05 message by rbrech
Visit number
Patient status
Patient class
Last modified date
Action