Patient information

Quentin Martinez

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/9/19 8:53:54 AM (CEST GMT+0200)
First name
Quentin
Last name
Martinez
Mother's maiden name
Bernard
Gender
Male
Date of Birth
8/5/13
Marital status
Identity Reliability Code

Home

Street address line
Allée du Verdier
Zip Code
42600
City
Écotay-l'Olme
Country
FRA
Patient Identifiers
  • 0647875077714566062287^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-65120^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 5427^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN8662^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2013
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-04-09 08:54:40.381 - Patient has been created
  • 2019-04-09 08:54:40.385 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A31^ADT_A05 message
  • 2019-04-09 08:56:45.0 - Patient has been linked with patient #12407
  • 2019-04-09 08:56:45.011 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A24^ADT_A24 message
  • 2019-04-09 11:14:00.038 - Patient has been sent to SUT (nuvyta nuvyta) within a ADT^A28^ADT_A05 message by s.vigano
Visit number
Patient status
Patient class
Last modified date
Action