Patient information

MATHIEU MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
6/12/24 9:27:49 AM (CEST GMT+0200)
First name
MATHIEU (MATHIEU)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
4/26/00
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue de la Liberté
Zip Code
77680
City
Roissy-en-Brie
Country
FRA

Birth Delivery Location

Zip Code
93700
City
Drancy
INSEE Code
93029
Country
FRA
Patient Identifiers
  • 1346480387514173625963^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55006^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11262^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 100049302915666^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 100049302915666^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2527^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fb7fa7aa-175e-4290-888c-a077dae49c0e
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Ouvriers non qualifiés de type artisanal
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2000
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
  • 2024-06-12 09:28:48.937 - Patient has been created by tech.tilak
  • 2024-06-12 09:28:49.484 - 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