Patient information

Arianne Martin

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/15/19 12:15:07 PM (CEST GMT+0200)
First name
Arianne
Last name
Martin
Mother's maiden name
Roman
Gender
Female
Date of Birth
9/13/35
Marital status
Married
Identity Reliability Code

Home

Street address line
Boulevard Georges Azémia
Zip Code
27200
City
Vernon
Country
FRA
Patient Identifiers
  • 1412162757518714196070^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-65739^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8992^^^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
- - 1935
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-07-15 12:17:16.952 - Patient has been created
  • 2019-07-15 12:17:17.221 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action