Patient information

Theirn Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/8/21 10:57:25 AM (CEST GMT+0200)
First name
Theirn
Last name
Martin
Mother's maiden name
Bernard
Gender
Male
Date of Birth
2/11/08
Marital status
Identity Reliability Code

Home

Street address line
Rue Barbara
Zip Code
59770
City
Marly
Country
FRA
Patient Identifiers
  • 0904032921972180325615^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72291^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10315^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a13318e4-8010-4c39-9326-72d09cb41a75
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2008
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-08 10:57:48.974 - Patient has been created
  • 2021-06-08 10:57:49.059 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A28^ADT_A05 message
  • 2021-06-08 15:16:56.649 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action