Patient information

BB DE MARIE DEUX MAMANCONVERGENCE

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/7/21 1:54:02 PM (CET GMT+0100)
First name
BB DE MARIE DEUX
Last name
MAMANCONVERGENCE
Gender
Masculin
Date of Birth
12/7/21
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 CEDEX 020
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21009665^^^CLINICOM&& (PI)
Email
Account number
216008661^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
b1d8159a-d258-4913-9f07-4dc82e8c1a12
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
  • 2021-12-07 13:54:02.836 - 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