Patient information

Maurice Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/18/23 3:50:22 PM (CEST GMT+0200)
First name
Maurice (Maurice)
Last name
Martin
Mother's maiden name
Robert
Gender
Masculin
Date of Birth
5/7/05
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Villa des Hauts Perreux
Zip Code
94500
City
Champigny-sur-Marne
Country
FRA
Patient Identifiers
  • 10857^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2075^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fc9b0ba1-087f-452c-adb8-82593c49403d
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Ouvriers agricoles
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2005
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
  • 2023-04-18 15:50:33.642 - Patient has been created
  • 2023-04-18 15:50:37.143 - Patient has been sent to SUT (PAM_FR BORACONNECT) within a ADT^A28^ADT_A05 message
  • 2023-04-18 15:51:16.584 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2023-04-18 15:57:17.699 - Patient has been sent to SUT (PAM_FR BORACONNECT) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action