Patient information

LAZARE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Philippe RAFFARD
Last modified date
12/13/21 4:24:59 PM (CET GMT+0100)
First name
LAZARE (LAZARE)
Last name
MARTIN
Mother's maiden name
Bardin
Gender
Masculin
Date of Birth
5/19/06
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue Comte de Bertier
Zip Code
57100
City
Thionville
Country
FRA

Birth Delivery Location

Zip Code
69200
City
Vénissieux
INSEE Code
69259
Country
FRA
Patient Identifiers
  • 1233973358294226294291^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54314^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 106056925910586^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 106056925910586^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1801^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e9b06ac9-99d3-47bb-a622-1ad9e0eebb98
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Anciens employés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2006
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
  • 2021-12-13 16:25:22.489 - Patient has been created by edlpra
  • 2021-12-13 16:25:22.969 - Patient has been sent to SUT (EDL XPLORE) within a ADT^A28^ADT_A05 message by edlpra
  • 2021-12-29 11:44:15.433 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message by edlpra
Visit number
Patient status
Patient class
Last modified date
Action