Patient information

AURELIE MARTIN

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_IHE
Last modified date
3/13/24 9:39:09 AM (CET GMT+0100)
First name
AURELIE (AURELIE)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
1/23/87
Marital status
Identity Reliability Code
Validé

Home

Street address line
Rue Louis Pasteur
Zip Code
84029
City
Avignon
Country
FRA

Birth Delivery Location

Zip Code
62600
City
Berck
INSEE Code
62108
Country
FRA
Patient Identifiers
  • 0803025794917761133789^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55019^^^DDS&1.3.6.1.4.1.12559.11.49.3&ISO (PI)
  • 11123^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
3f6f2c48-dbb6-437b-855a-840a6d8df2af
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
  • 2024-03-13 09:39:09.207 - Patient has been received from SUT (IHE PatientManager) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action