Patient information

DONATELLOTI DE VINCI

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
1/17/22 11:58:55 AM (CET GMT+0100)
First name
DONATELLOTI
Last name
DE VINCI
Gender
Masculin
Date of Birth
8/7/10
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
Rue AZERTY ter
Zip Code
63530
City
VOLVIC
Country
FRA

Birth Delivery Location

Zip Code
63
City
MAZOIRES
INSEE Code
63220
Country
FRA
Patient Identifiers
  • 21000663^^^CLINICOM&& (PI)
  • 1812391536506940622968^^^1.2.250.1.213.1.4.2&& (INS-C)
Email
Account number
216008472^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
24611450-6941-4a43-abaf-b97c1c21a8e5
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
  • 2022-01-17 11:58:55.463 - 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