Patient information

Florianne Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/8/20 11:21:04 PM (CEST GMT+0200)
First name
Florianne
Last name
Martin
Mother's maiden name
Martin
Gender
Female
Date of Birth
10/2/79
Marital status
Domestic partner
Identity Reliability Code

Home

Street address line
Rue Marie Liétard
Zip Code
62800
City
Liévin
Country
FRA
Patient Identifiers
  • 0965955838507706287480^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-71247^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9612^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Public
Birth Place Name
UUID
3fe82e47-5f6c-4ae9-9fb5-4aba6f593872
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1979
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
  • 2020-10-08 23:22:22.754 - Patient has been created
  • 2020-11-10 19:02:25.844 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message by aribault
  • 2021-02-09 14:44:03.888 - Patient has been sent to SUT (IHE DxCare) within a ADT^A28^ADT_A05 message by jccauvin
Visit number
Patient status
Patient class
Last modified date
Action