Patient information

LEON LECOMTE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
7/30/21 11:33:06 AM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
LEON
Last name
LECOMTE
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
10/30/80
Marital status
Identity Reliability Code

Home

Street address line
Avenue Georges Pompidou
Zip Code
35300
City
Fougères
Country
FRA

Home

Zip Code
25200
City
Montbéliard
Country
FRA
Patient Identifiers
  • 0348929119608433548964^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54116^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10575^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 180102538843032^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 180102538843032^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1620^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
381b284d-e36f-4b54-b479-4cdc69906665
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
  • 2021-07-30 11:33:06.972 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-07-30 11:33:06.974 - Patient has been created
  • 2021-09-21 11:17:19.86 - Patient has been updated to patient #13854
Visit number
Patient status
Patient class
Last modified date
Action