Patient information

TestNorollBackCACBBCAB HLSeptRdv

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/1/21 4:54:20 AM (CET GMT+0100)
First name
TestNorollBackCACBBCAB
Last name
HLSeptRdv
Gender
Masculin
Date of Birth
1/1/80
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Street address line
1 rue de la mer
Zip Code
34000
City
MONTPELLIER
Country
FRA

Birth Delivery Location

City
MONTPELLIER
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21009415^^^CLINICOM&& (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
d32563ba-ea55-4a62-9f8e-cd754f5ebc52
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
  • 2021-12-01 04:54:20.421 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A28^ADT_A05 message
  • 2021-12-01 04:54:20.421 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action