Patient information

Tatienne Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/4/21 2:16:35 PM (CEST GMT+0200)
First name
Tatienne
Last name
Martin
Mother's maiden name
Martin
Gender
Female
Date of Birth
2/27/14
Marital status
Identity Reliability Code

Home

Street address line
Sentier du Parc Saint-Michel
Zip Code
06500
City
Menton
Country
FRA
Patient Identifiers
  • 1111782751475329183495^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72263^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3172^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3172^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3172^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3172^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN10301^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
ac53bfbf-b182-40f1-8a7f-9cb57a756c9a
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2014
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-04 14:16:43.243 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action