Patient information

NICOLETTE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/18/24 5:54:17 PM (CEST GMT+0200)
First name
NICOLETTE (NICOLETTE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
11/5/04
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Montée Charles Baudelaire
Zip Code
42100
City
Saint-Étienne
Country
FRA

Birth Delivery Location

Zip Code
56000
City
Vannes
INSEE Code
56260
Country
FRA
Patient Identifiers
  • 1298525787136836385275^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55012^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11267^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2533^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2e460b72-7ba6-4815-9ee8-58d9f1a225dd
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Ouvriers non qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2004
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
  • 2024-06-18 17:54:17.718 - Patient has been created
  • 2024-06-18 17:54:19.6 - Patient has been sent to SUT (Ecare Ecare) within a ADT^A47^ADT_A30 message
  • 2024-06-19 16:45:30.995 - Patient has been sent to SUT (Ecare Ecare) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action