Patient information

Gilles Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/8/21 10:49:54 AM (CEST GMT+0200)
First name
Gilles
Last name
Martin
Mother's maiden name
Leroy
Gender
Male
Date of Birth
4/20/04
Marital status
Identity Reliability Code

Home

Street address line
Chemin piéton de Lescombes à la Lande Blanche
Zip Code
33320
City
Eysines
Country
FRA
Patient Identifiers
  • 0078515759631274055851^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-72285^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEGREEN-3180^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3180^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • NW-3180^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
Email
Account number
AN10313^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
fa04bd21-ced2-4c4b-a55f-1b837141aad0
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2004
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-08 10:49:54.5 - Patient has been created
  • 2021-06-08 10:50:20.079 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A47^ADT_A30 message
  • 2021-06-08 10:55:22.287 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A40^ADT_A39 message
  • 2021-06-08 11:02:42.263 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A40^ADT_A39 message
  • 2021-06-08 11:08:00.551 - Patient has been sent to SUT (DDL Kalisil) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action