Patient information

TOM TOMSON

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/26/21 5:36:37 PM (CET GMT+0100)
First name
TOM
Last name
TOMSON
Gender
Masculin
Date of Birth
2/2/02
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
7 avenue de maurin
Zip Code
44000
City
NANTES
Country
FRA

Birth Delivery Location

Zip Code
34
City
MONTPELLIER
INSEE Code
34172
Country
FRA
Patient Identifiers
  • 21006239^^^CLINICOM&& (PI)
Email
Account number
216008571^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
25ff4a19-4e1f-4109-9a0e-043a57c6429b
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
  • 2021-11-26 17:36:37.725 - 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