Patient information

Liane Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Christophe DEJAEGHER
Last modified date
9/25/23 10:44:23 AM (CEST GMT+0200)
First name
Liane
Last name
Martin
Mother's maiden name
Leroy
Gender
Female
Date of Birth
4/27/10
Marital status
Identity Reliability Code

Home

Street address line
Rue du Lac
Zip Code
45770
City
Saran
Country
FRA
Patient Identifiers
  • 0515375469986650677126^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74153^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3311^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3311^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3311^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3311^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN11762^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
4b1e308b-07bc-4754-9ba0-a469c4c400f9
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2010
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 10:44:29.292 - Patient has been created by cdtelemis
  • 2023-09-25 10:44:29.441 - Patient has been sent to SUT (Pacs_Telemis Telemis) within a ADT^A28^ADT_A05 message by cdtelemis
Visit number
Patient status
Patient class
Last modified date
Action