Patient information

Modestine Martin

Simulated actor
Patient Encounter Consumer
Last modifier
PAMSimulator_IHE
Last modified date
3/12/24 4:14:50 PM (CET GMT+0100)
First name
Modestine
Last name
Martin
Mother's maiden name
Moreau
Gender
Féminin
Date of Birth
12/19/61
Marital status
Identity Reliability Code

Home

Street address line
Rue de la Comtesse Talleyrand-Périgord
Zip Code
78480
City
Verneuil-sur-Seine
Country
FRA
Patient Identifiers
  • 1008864114769571243589^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55048^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
Email
Account number
AN2504^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
33e38fd3-4e09-4470-b187-d9317c074b78
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Personnes diverses sans activité professionnelle de 60 ans et plus (sauf retraités)
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
Visit number
Patient status
Patient class
Last modified date
Action
VN3290^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:50 PM (CET GMT+0100)
VN3292^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:50 PM (CET GMT+0100)
VN3293^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:51 PM (CET GMT+0100)
VN3294^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:51 PM (CET GMT+0100)
VN3295^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:51 PM (CET GMT+0100)
VN3296^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:52 PM (CET GMT+0100)
VN3297^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:52 PM (CET GMT+0100)
VN3298^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:52 PM (CET GMT+0100)
VN3299^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:53 PM (CET GMT+0100)
VN3300^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:53 PM (CET GMT+0100)
VN3301^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:53 PM (CET GMT+0100)
VN3302^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:53 PM (CET GMT+0100)
VN3303^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:54 PM (CET GMT+0100)
VN3304^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:54 PM (CET GMT+0100)
VN3305^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:54 PM (CET GMT+0100)
VN3306^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:54 PM (CET GMT+0100)
VN3311^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:55 PM (CET GMT+0100)
VN3312^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN DISCHARGED I 3/12/24 4:14:56 PM (CET GMT+0100)
VN3316^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:57 PM (CET GMT+0100)
VN3317^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ENCOUNTER CANCELLED I 3/12/24 4:14:57 PM (CET GMT+0100)