Patient information

Mariano Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/10/21 12:26:58 PM (CEST GMT+0200)
First name
Mariano
Last name
Martin
Mother's maiden name
Bernard
Gender
Female
Date of Birth
2/7/60
Marital status
Identity Reliability Code

Home

Street address line
Avenue de la République
Zip Code
92120
City
Montrouge
Country
FRA
Patient Identifiers
  • DDS-72269^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3176^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3176^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3176^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3176^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 1756972732430239067150^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
Email
Account number
AN10307^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
933689e1-130b-4264-932c-02d535a4ce20
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1960
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
  • 2021-06-10 12:26:58.984 - Patient has been created by m.trabace
  • 2021-06-10 12:27:58.388 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action