Patient information

DEUX ROC

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/1/21 2:27:40 PM (CET GMT+0100)
First name
DEUX
Last name
ROC
Gender
Féminin
Date of Birth
1/1/42
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Route du CNDA
Zip Code
34170
City
CASTELNAU LE LEZ
Country
FRA

Birth Delivery Location

Zip Code
63
City
CHAMALIERES
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21009422^^^CLINICOM&& (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
df4276ff-cc07-4dea-9d57-7b416fe6f226
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
  • 2021-12-01 14:27:40.641 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A28^ADT_A05 message
  • 2021-12-01 14:27:40.643 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action