Patient information

DIEUDONNE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Julien Touati
Last modified date
2/27/23 10:14:34 AM (CET GMT+0100)
First name
DIEUDONNE (DIEUDONNE)
Last name
MARTIN
Mother's maiden name
Herisson
Gender
Masculin
Date of Birth
8/28/75
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Théophile de Viau
Zip Code
47000
City
Agen
Country
FRA

Birth Delivery Location

Zip Code
83130
City
La Garde
INSEE Code
38177
Country
FRA
Patient Identifiers
  • 10850^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^PI (PI)
  • 175083817731336^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO^INS (INS)
Email
Account number
AN2064^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d6efb1be-651e-4b63-b87b-9ed9a1f9fc1f
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Chauffeurs
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1975
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
  • 2023-02-27 10:15:39.96 - Patient has been created by jtouati
  • 2023-02-27 10:15:40.467 - Patient has been sent to SUT (IMPLICITY IMPLICITY) within a ADT^A28^ADT_A05 message by jtouati
Visit number
Patient status
Patient class
Last modified date
Action