Patient information

Marcellette Martin

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
4/20/22 3:40:41 PM (CEST GMT+0200)
First name
Marcellette
Last name
Martin
Mother's maiden name
Charpentier
Gender
Female
Date of Birth
2/21/80
Marital status
Identity Reliability Code

Home

Street address line
Voie des Hauts Marchés
Zip Code
62110
City
Hénin-Beaumont
Country
FRA
Patient Identifiers
  • 1314246793806058324713^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-72894^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10831^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
425529ca-eb62-4796-b00b-b174b0153dfe
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1980
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
  • 2022-04-20 15:40:54.345 - Patient has been created
  • 2022-04-20 15:40:56.613 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN14027^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/16/22 11:42:25 AM (CEST GMT+0200)