Patient information

Nicolas CUSIPAUTROIS

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/2/21 5:10:18 PM (CET GMT+0100)
First name
Nicolas
Last name
CUSIPAUTROIS
Gender
Masculin
Date of Birth
11/1/72
Marital status
Identity Reliability Code
Identité non encore qualifiée

Home

Birth Delivery Location

Zip Code
59
City
LILLE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 21009467^^^CLINICOM&& (PI)
Email
Account number
216008620^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
d0171edd-40e8-4e04-b3a0-230d2ff73e4c
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
  • 2021-12-02 17:10:18.377 - 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