Patient information

Nicolas CUSIPAUCINQ

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
12/2/21 6:28:22 PM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
Nicolas
Last name
CUSIPAUCINQ
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
  • 21009469^^^CLINICOM&& (PI)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
19bb3217-dd99-4cf5-826f-8a8f71ddc74a
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 18:28:22.878 - Patient has been received from SUT (ISSAS TRAKCARE CLINICOM) within a ADT^A31^ADT_A05 message
  • 2022-01-10 17:11:01.46 - Patient has been updated to patient #26575
Visit number
Patient status
Patient class
Last modified date
Action