Patient information

Jolie Martin

Simulated actor
Patient Demographic Supplier
Last modifier
massimo.bertorel
Last modified date
4/9/19 11:26:59 AM (CEST GMT+0200)
First name
Jolie
Last name
Martin
Mother's maiden name
Garnier
Gender
Female
Date of Birth
5/17/10
Marital status
Identity Reliability Code

Home

Street address line
Rue Masséna
Zip Code
06110
City
Le Cannet
Country
FRA
Patient Identifiers
  • 0047647454139984886693^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-65227^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8715^^^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
- - 2010
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-04-09 11:27:02.858 - Patient has been created by massimo.bertorel
  • 2019-04-09 11:27:02.936 - Patient has been sent to SUT (GPI HOPERA) within a ADT^A28^ADT_A05 message by massimo.bertorel
Visit number
Patient status
Patient class
Last modified date
Action