Patient information

DESIREE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/22/23 2:46:19 PM (CET GMT+0100)
First name
DESIREE (DESIREE)
Last name
MARTIN
Mother's maiden name
David
Gender
Féminin
Date of Birth
5/19/89
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Quai d'Algérie
Zip Code
76121
City
Rouen
Country
FRA

Birth Delivery Location

Zip Code
20200
City
Bastia
INSEE Code
2B033
Country
FRA
Patient Identifiers
  • 1277416922312813087576^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54580^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10844^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2057^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
91d11620-bbb2-4609-ba6e-0fbc2480f7ad
Socio-professional occupation
Ouvriers
Socio-professional group
Anciens artisans, commerçants, chefs d'entreprise
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1989
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
  • 2023-02-22 14:46:33.667 - Patient has been created
  • 2023-02-22 14:46:42.703 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action