Patient information

Xavier Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
12/28/21 5:03:01 PM (CET GMT+0100)
First name
Xavier
Last name
Martin
Mother's maiden name
Martin
Gender
Male
Date of Birth
1/30/99
Marital status
Identity Reliability Code

Home

Street address line
Rue du Temple
Zip Code
95100
City
Argenteuil
Country
FRA
Patient Identifiers
  • 0766213244274968631459^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-72798^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10755^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ab8be0d8-1f81-4aa2-9be7-767d30cf2dd9
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1999
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
  • 2021-12-28 17:03:43.075 - Patient has been created by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action