Patient information

ALICE MAMAN

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/7/21 12:09:01 PM (CET GMT+0100)
First name
ALICE
Last name
MAMAN
Gender
Féminin
Date of Birth
1/1/00
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
rue
Zip Code
44000
City
NANTES
Country
FRA

Birth Delivery Location

Zip Code
44
City
NANTES
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21007244^^^CLINICOM&& (PI)
Email
Account number
TC0326019^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
7e81d72f-36de-45eb-97d9-6e8fafc72992
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
  • 2021-12-07 12:09:01.439 - 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