Patient information

Jolie Martin

Simulated actor
Patient Demographic Supplier
Last modifier
julien barrais
Last modified date
12/30/19 4:17:40 PM (CET GMT+0100)
First name
Jolie
Last name
Martin
Mother's maiden name
Martin
Gender
F
Date of Birth
8/19/90
Marital status
Identity Reliability Code

Home

Street address line
Rue Paul Padé
Zip Code
92320
City
Châtillon
Country
FRA
Patient Identifiers
  • IHEBLUE-3015^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3015^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3015^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3015^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5534^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9218^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0b4826e8-0192-4f70-a702-4a5b3ac73acb
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1990
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
  • 2019-12-30 16:17:40.471 - Patient has been created by julien
  • 2019-12-30 16:17:55.213 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
  • 2019-12-30 17:20:26.984 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action