Patient information

NICOLAS SSR2022

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
1/14/22 5:04:08 PM (CET GMT+0100)
First name
NICOLAS
Last name
SSR2022
Gender
Masculin
Date of Birth
11/1/72
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
33 rue Mozart
Zip Code
44100
City
NANTES
Country
FRA

Birth Delivery Location

Zip Code
59
City
LILLE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 22000477^^^CLINICOM&& (PI)
Email
Account number
022000112^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
e52ce1df-f044-400e-9f81-1660eb281922
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
  • 2022-01-14 17:04:08.333 - 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