Patient information

DEBITEUR TESTFLE

Simulated actor
Patient Demographic Consumer
Last modifier
TRAKCARE CLINICOM_ISSAS
Last modified date
11/29/21 4:26:49 PM (CET GMT+0100)
First name
DEBITEUR
Last name
TESTFLE
Gender
Masculin
Date of Birth
5/9/74
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
28 reu Marcel de Serres
Zip Code
34000
City
MONTPELLIER
Country
FRA

Birth Delivery Location

Zip Code
36
City
ABANCOURT
INSEE Code
99999
Country
FRA
Patient Identifiers
  • 17000569^^^CLINICOM&& (PI)
Email
Account number
170001982^^^CLINICOM
Blood group
VIP Indicator
Birth Place Name
UUID
adb38a85-3784-4198-afa5-9cb84ad24d7e
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
  • 2021-11-29 16:26:49.726 - 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