Patient information

JEAN DUPEL

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
1/20/22 11:27:03 AM (CET GMT+0100)
First name
JEAN
Last name
DUPEL
Gender
Masculin
Date of Birth
11/10/65
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
2 rue des fleurs
Zip Code
64100
City
BAYONNE
Country
FRA

Birth Delivery Location

Zip Code
64
City
ABBENANS
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 18000730^^^CLINICOM&& (PI)
Email
Account number
TC0335144^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
bfc6f79a-68b8-4537-81e4-e223fcbe8bba
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 11:27:03.294 - 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