Patient information

CNDA UN

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/30/21 6:42:26 PM (CET GMT+0100)
First name
(CLINIQUE)
Last name
CNDA UN
Gender
Masculin
Date of Birth
7/20/75
Marital status
Identity Reliability Code
Validé

Home

Street address line
515 rue du CNDA
Zip Code
34170
City
CASTELNAU LE LEZ
Country
FRA

Birth Delivery Location

Zip Code
26
City
VALENCE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21007976^^^CLINICOM&& (PI)
  • 0176755146533876274876^^^1.2.250.1.213.1.4.2&& (INS-C)
Email
Account number
TC0331404^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
228cf79a-c181-4f71-9d61-7abd1f3dad13
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
  • 2021-11-30 18:42:26.739 - 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