Patient information

STEPHANIE DURAN

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/6/21 11:24:52 AM (CET GMT+0100)
First name
STEPHANIE
Last name
DURAN
Gender
Féminin
Date of Birth
3/23/93
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
25 Boulevard des Pyrénées
Zip Code
64000
City
PAU
Country
FRA

Birth Delivery Location

Zip Code
92
City
COURBEVOIE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 19002586^^^CLINICOM&& (PI)
Email
Primary Residence Number
Primary Residence Number
Account number
196034561^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
f92de800-fa0e-49c0-a5de-f02c7bd9ad7c
Socio-professional occupation
Socio-professional group
5
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
  • 2021-12-06 11:24:52.534 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action