Patient information

FLORETTE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
tech.tilak
Last modified date
6/12/24 3:24:41 PM (CEST GMT+0200)
First name
FLORETTE (FLORETTE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
12/17/65
Marital status
Identity Reliability Code
Validé

Home

Street address line
A 86
Zip Code
93110
City
Rosny-sous-Bois
Country
FRA

Birth Delivery Location

Zip Code
17200
City
Royan
INSEE Code
17306
Country
FRA
Patient Identifiers
  • 1225702252981718958015^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55011^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11266^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 265121730622640^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 265121730622640^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2532^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ca4061ae-34bc-45dc-9f2e-830944b72df1
Socio-professional occupation
Ouvriers
Socio-professional group
Professeurs, professions scientifiques
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
  • 2024-06-12 15:25:03.376 - Patient has been created by tech.tilak
  • 2024-06-12 15:25:37.085 - 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