Patient information

DURIEUX

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/30/21 6:14:14 PM (CET GMT+0100)
First name
(DURIEUX)
Last name
DURIEUX
Gender
Masculin
Date of Birth
11/1/72
Marital status
Identity Reliability Code
Validé

Home

Street address line
33 rue Mozart
Zip Code
44000
City
NANTES
Country
FRA

Birth Delivery Location

Zip Code
59
City
LILLE
INSEE Code
99999
Country
FRA

Current or Temporary

Street address line
22 rue de la plage
Zip Code
44210
City
PORNIC
Country
FRA
Patient Identifiers
  • 19000125^^^CLINICOM&& (PI)
  • 0729596222253155350497^^^1.2.250.1.213.1.4.2&& (INS-C)
Email
truc@bidule.Fr
Primary Residence Number
Primary Residence Number
Account number
196007277^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
5c5a7a88-974c-4afd-a133-f8f2b8a7d5c3
Socio-professional occupation
Socio-professional group
3
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
  • 2021-11-30 18:14:15.053 - 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