Patient information

Julien Martin

Simulated actor
Patient Demographic Consumer
Last modifier
PAMSimulator_IHE
Last modified date
7/9/21 9:25:38 AM (CEST GMT+0200)
First name
Julien
Last name
Martin
Mother's maiden name
Martin
Gender
Male
Date of Birth
10/21/12
Marital status
Identity Reliability Code

Home

Street address line
Route Départementale 386
Zip Code
69560
City
Sainte-Colombe
Country
FRA
Patient Identifiers
  • DDS^^^DHCPAM&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN^^^DHCPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
25e6bae1-b531-4028-add6-fd40d5fc8470
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-07-09 09:25:38.848 - Patient has been received from SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
  • 2021-07-09 09:25:38.849 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action