Patient information

ELOI MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/1/22 3:45:56 PM (CEST GMT+0200)
First name
ELOI (ELOI)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/1/56
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue du Berry
Zip Code
91940
City
Les Ulis
Country
FRA

Birth Delivery Location

Zip Code
50000
City
Saint-Lô
INSEE Code
50502
Country
FRA
Patient Identifiers
  • 0917251007605062689070^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54400^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10749^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 156045050263711^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 156045050263711^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1881^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
dd11c40d-eb8c-453c-9296-9a27a25d0018
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Policiers et militaires
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1956
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
  • 2022-06-01 15:46:15.237 - Patient has been created
  • 2022-06-01 15:54:08.108 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action