Patient information

DINAND BOLGERSACKVILLE

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
1/20/22 12:24:06 PM (CET GMT+0100)
First name
DINAND
Last name
BOLGERSACKVILLE
Gender
Masculin
Date of Birth
9/4/94
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Country
FRA

Birth Delivery Location

Zip Code
12
City
RODEZ
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 22000623^^^CLINICOM&& (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
921ce61d-7ee2-45d6-b073-ed5e6dba724b
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
  • 2022-01-20 12:24:06.431 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A28^ADT_A05 message
  • 2022-01-20 12:24:06.434 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action