Patient information

BEAUMONTA

Simulated actor
Patient Demographic Consumer
Last modifier
QSP_INS_CLINIQUE 3 QSP SYSTE
Last modified date
12/1/21 11:28:48 AM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
(MICHEL)
Last name
BEAUMONTA
Gender
Masculin
Date of Birth
5/11/72
Marital status
Identity Reliability Code
Validé

Home

Street address line
aa124
Zip Code
31000
City
TOULOUSE
Country
FRA
Patient Identifiers
  • 115982^^^PAM_QSP&& (PI)
  • 172052906462363^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.8&ISO (INS)
Email
Account number
Blood group
VIP Indicator
Birth Place Name
UUID
83702726-3de1-4c7d-84e5-e30a9ce133d8
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
  • 2021-12-01 11:28:48.088 - Patient has been received from SUT (CLINIQUE 3 QSP SYSTE QSP_INS) within a ADT^A31^ADT_A05 message
  • 2021-12-01 11:30:28.39 - Patient has been updated to patient #19069
Visit number
Patient status
Patient class
Last modified date
Action