Patient information

Amaury Martin

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
6/12/24 12:41:05 PM (CEST GMT+0200)
First name
Amaury (Amaury)
Last name
Martin
Mother's maiden name
Zimmermann
Gender
Masculin
Date of Birth
3/4/18
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Avenue Notre-Dame-de-Vie
Zip Code
06250
City
Mougins
Country
FRA
Patient Identifiers
  • 1278091318133214263717^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55010^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
Email
Account number
AN2531^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5c2529a7-1d59-4d25-9595-6b0f2ded040c
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Personnels des services directs aux particuliers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2018
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 12:41:11.808 - Patient has been created by tech.tilak
  • 2024-06-12 12:41:11.991 - 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