Patient information

Mariette Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/18/21 3:36:37 PM (CEST GMT+0200)
First name
Mariette
Last name
Martin
Mother's maiden name
Dumas
Gender
Féminin
Date of Birth
4/20/70
Marital status
Identity Reliability Code

Home

Street address line
Rue Marcel Longuet
Zip Code
37550
City
Saint-Avertin
Country
FRA
Patient Identifiers
  • DDS-54999^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 1035247222666179294334^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
Email
Account number
AN1526^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
19304e3a-a237-4545-ac80-57f1017f43cf
Socio-professional occupation
Socio-professional group
Lunar Date
- 0 - 1970
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-18 15:36:37.109 - Patient has been created
  • 2021-06-18 15:36:46.526 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action