Patient information

Esme Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/26/24 11:07:34 AM (CEST GMT+0200)
First name
Esme
Last name
Martin
Mother's maiden name
Roux
Gender
Female
Date of Birth
6/20/65
Marital status
Identity Reliability Code

Home

Street address line
Rue Pampoule
Zip Code
27400
City
Louviers
Country
FRA
Patient Identifiers
  • 0613758553709378049096^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74613^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 56756567^^^Julien&1.2.5&ISO (IC)
Email
Account number
AN11943^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1caf172c-e060-4ab4-9dd3-8f159219e88a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1965
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
  • 2024-04-26 11:07:46.825 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action