Patient information

TELESPHORE MARTIN

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/28/25 4:38:17 PM (CEST GMT+0200)
First name
TELESPHORE (TELESPHORE)
Last name
MARTIN
Mother's maiden name
Daniel
Gender
Masculin
Date of Birth
10/12/04
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue Louis Armand
Zip Code
33600
City
Pessac
Country
FRA

Birth Delivery Location

Zip Code
92390
City
Villeneuve-la-Garenne
INSEE Code
92078
Country
FRA
Patient Identifiers
  • 1268634053734209085441^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-55038^^^DDS&1.3.6.1.4.1.12559.11.49.3&ISO (PI)
  • 11138^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
Email
Account number
AN2471^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2c66af65-eb60-465d-a8db-cf257f5f1f83
Socio-professional occupation
Agriculteurs exploitants
Socio-professional group
Commerçants et assimilés
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2004
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
  • 2025-07-28 16:38:17.165 - Patient has been created by 113f7b53-136f-4564-aad1-524046692e3f
  • 2025-07-28 16:38:17.592 - 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