Patient information

MELANIE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/10/24 12:47:53 PM (CET GMT+0100)
First name
MELANIE (MELANIE)
Last name
MARTIN
Mother's maiden name
Michel
Gender
Féminin
Date of Birth
6/26/19
Marital status
Identity Reliability Code
Validé

Home

Street address line
Allée Jean-Baptiste Lulli
Zip Code
78180
City
Montigny-le-Bretonneux
Country
FRA

Birth Delivery Location

Zip Code
91160
City
Longjumeau
INSEE Code
91345
Country
FRA
Patient Identifiers
  • 1062727450476788021814^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54870^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11199^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 219069134523885^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 219069134523885^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2391^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ce28befb-9f2d-4231-9c38-7e92c169e61f
Socio-professional occupation
Retraités
Socio-professional group
Professeurs, professions scientifiques
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2019
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
  • 2024-01-10 12:48:04.61 - Patient has been created
  • 2024-01-10 12:48:06.789 - Patient has been sent to SUT (Optacare Predict) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action