Patient information

ODILON MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
6/11/24 2:14:34 PM (CEST GMT+0200)
First name
ODILON (ODILON)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/2/65
Marital status
Identity Reliability Code
Validé

Home

Street address line
Route d'Angers
Zip Code
79300
City
Bressuire
Country
FRA

Birth Delivery Location

Zip Code
91940
City
Les Ulis
INSEE Code
91692
Country
FRA
Patient Identifiers
  • 0867038772556599970867^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55004^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11260^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 165049169240378^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 165049169240378^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2525^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8e002552-c2b5-48e1-80d9-98be4905d142
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Ouvriers qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1965
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
  • 2024-06-11 14:14:39.088 - Patient has been created by tech.tilak
  • 2024-06-11 14:14:39.244 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A28^ADT_A05 message by tech.tilak
Visit number
Patient status
Patient class
Last modified date
Action