Patient information

Patrick Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
5/16/24 2:56:52 PM (CEST GMT+0200)
First name
Patrick (Patrick)
Second Name
Sebastien
Third Name
Victor
Last name
Martin
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
5/3/72
Marital status
PACS
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue Saint-Lazare
Zip Code
60300
City
Senlis
Country
FRA
Patient Identifiers
  • 0562357492060309629347^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54970^^^DDS&1.3.6.1.4.1.12559.11.43.9&ISO (PI)
  • 11252^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Patrick.matin@yopmail.com
Account number
AN2491^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
44d3d042-8a92-47b8-8f6c-79da9f063cb2
Socio-professional occupation
Artisans, commerçants et chefs d'entreprise
Socio-professional group
Policiers et militaires
Number of weeks of gestation
SMS Consent
Yes
Date de naissance carte Vitale
First week (31) - 3 - 1972
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
  • 2024-05-16 14:56:52.368 - Patient has been created by tech.tilak
  • 2024-05-16 14:56:52.594 - Patient has been sent to SUT (Tilak Test Python decoder) within a ADT^A47^ADT_A30 message
  • 2024-06-06 13:03:11.4 - Patient has been sent to SUT (MyPredi MyPredi) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action