Patient information

Nadia Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
9/25/23 4:49:05 PM (CEST GMT+0200)
First name
Nadia
Last name
Martin
Mother's maiden name
Leroy
Gender
Female
Date of Birth
4/22/69
Marital status
Identity Reliability Code

Home

Street address line
Rue de l'Église
Zip Code
76120
City
Le Grand-Quevilly
Country
FRA
Patient Identifiers
  • 1535220936406025537221^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74179^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11786^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
5be52bf6-ad90-4ba0-a929-c5e9875862c9
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1969
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
  • 2023-09-25 16:49:10.901 - Patient has been created
  • 2023-09-25 16:49:10.982 - Patient has been sent to SUT (pms pms) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action