Patient information

DENIS MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
1/22/24 9:49:52 AM (CET GMT+0100)
First name
DENIS (DENIS)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
1/11/49
Marital status
Identity Reliability Code
Validé

Home

Street address line
Allée Georges Baugnies
Zip Code
03700
City
Bellerive-sur-Allier
Country
FRA

Birth Delivery Location

Zip Code
04100
City
Manosque
INSEE Code
04112
Country
FRA
Patient Identifiers
  • 0700398591420157200715^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54902^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11231^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 149010411231785^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 149010411231785^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2423^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
84118bfa-7caa-4f54-9fd1-1fdeae4fba32
Socio-professional occupation
Cadres et professions intellectuelles supérieures
Socio-professional group
Chauffeurs
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1949
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
  • 2024-01-22 09:53:30.917 - Patient has been created
  • 2024-01-22 09:53:31.106 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
Set ID
Identifier
Dates
Legal care mode
RIM-P Code
Comment
Status
Actions
12
Start:
1/30/24 12:00:00 PM (CET GMT+0100)
End:
1/31/24 12:00:00 PM (CET GMT+0100)
HL1INSERT