Patient information

Nicolas Martinez

Simulated actor
Patient Demographic Supplier
Last modifier
Daniel Graveto
Last modified date
10/18/22 5:34:51 PM (CEST GMT+0200)
First name
Nicolas
Last name
Martinez
Mother's maiden name
Michel
Gender
Male
Date of Birth
12/6/82
Marital status
Identity Reliability Code

Home

Street address line
Rue Louise Beaupuy
Zip Code
81100
City
Castres
Country
FRA
Patient Identifiers
  • 0155867384785650265118^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-60549^^^DDS&1.2.250.1.398.1.1.400.1.99.1.3&ISO (PI)
  • PAT8^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO (PI)
Email
Account number
AN8^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0ea2f1f1-bf64-411a-b1fc-3d4b10e9f3f7
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1982
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
  • 2022-10-18 17:35:05.836 - Patient has been created by dgraveto
Visit number
Patient status
Patient class
Last modified date
Action