Patient information

Julien Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/9/21 9:24:28 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
c2d986c8-c1f6-4ea1-b133-f4b4cdbfdbdf
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2012
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 09:25:38.822 - Patient has been created
  • 2021-07-09 09:25:38.865 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
  • 2021-07-15 10:30:52.181 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message by mtoudic
Visit number
Patient status
Patient class
Last modified date
Action