Patient information

RAPHAEL ADRDEUX

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/26/21 8:13:04 AM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
RAPHAEL
Last name
ADRDEUX
Gender
Masculin
Date of Birth
1/1/80
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
515 CHE DU MAS DE ROCHET
Zip Code
34170
City
CASTELNAU LE LEZ
Country
FRA

Birth Delivery Location

Zip Code
63
City
MAZOIRES
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21005351^^^CLINICOM&& (PI)
  • 0722025723192889982224^^^1.2.250.1.213.1.4.2&& (INS-C)
Email
Account number
TC0321594^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
6642149e-7605-449d-8cb5-76f5ac175868
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
  • 2021-11-26 08:13:04.322 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A31^ADT_A05 message
  • 2021-11-29 10:20:42.162 - Patient has been updated to patient #18261
Visit number
Patient status
Patient class
Last modified date
Action