Patient information

STEPHANE BARDENAISSANCE

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/30/21 10:26:41 AM (CET GMT+0100)
First name
STEPHANE
Last name
BARDENAISSANCE
Gender
Masculin
Date of Birth
6/30/66
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
ISSAS France
Zip Code
59000
City
LILLE
Country
FRA

Birth Delivery Location

Zip Code
06
City
NICE
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 10375014^^^CLINICOM&& (PI)
  • 1433350331608412989000^^^1.2.250.1.213.1.4.2&& (INS-C)
Email
hcottier@intersystems.com
Account number
TC0302955^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
a0e581fa-cd4b-4b90-93dc-f85853c63e08
Socio-professional occupation
Socio-professional group
9
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 10:26:41.391 - 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