Patient information

MANON MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/22/25 4:25:22 PM (CEST GMT+0200)
First name
MANON (MANON)
Last name
MARTIN
Mother's maiden name
Martin
Gender
Féminin
Date of Birth
4/15/59
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Square Jean Morlet
Zip Code
91390
City
Morsang-sur-Orge
Country
FRA

Birth Delivery Location

Zip Code
71230
City
Saint-Vallier
INSEE Code
71486
Country
FRA
Patient Identifiers
  • 0772615638427424416829^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55031^^^DDS&1.3.6.1.4.1.12559.11.49.3&ISO (PI)
  • 11131^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2464^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2cb35c94-c00a-45be-92e8-102a1a481a3b
Socio-professional occupation
Retraités
Socio-professional group
Ouvriers qualifiés de type industriel
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1959
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
  • 2025-07-22 16:25:22.481 - Patient has been created by 113f7b53-136f-4564-aad1-524046692e3f
  • 2025-07-22 16:25:22.563 - Patient has been sent to SUT (MHCOMM MHLINK) within a ADT^A47^ADT_A30 message
Visit number
Patient status
Patient class
Last modified date
Action