Patient information

NICOLAS PREADCPTCCINQ

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/3/21 10:10:28 AM (CET GMT+0100)
First name
NICOLAS
Last name
PREADCPTCCINQ
Gender
Masculin
Date of Birth
11/1/72
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Country
FRA

Birth Delivery Location

Zip Code
59
City
LILLE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21004497^^^CLINICOM&& (PI)
Email
Account number
TC0319798^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
3525b06e-b054-48d9-837d-bb0aac14f59e
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
  • 2021-12-03 10:10:28.335 - 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