Patient information

VOSSAERT

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
10/27/21 4:57:36 PM (CEST GMT+0200)
First name
(NICOLAS)
Last name
VOSSAERT
Gender
Masculin
Date of Birth
11/1/72
Marital status
Identity Reliability Code
Validé

Home

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

Birth Delivery Location

Zip Code
59
City
LILLE
Country
F
Patient Identifiers
  • 21008348^^^CLINICOM&& (PI)
Email
truc@bidule.fr
Primary Residence Number
Primary Residence Number
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
1aa5d96f-d2db-4d5e-9ec6-ebdf64d4d866
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
  • 2021-10-27 16:57:36.045 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A28^ADT_A05 message
  • 2021-10-27 16:57:36.048 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action