Patient information

GILBERT LECOMTE

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/29/21 10:55:57 AM (CET GMT+0100)
First name
GILBERT (GILBERT)
Last name
LECOMTE
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
11/27/64
Marital status
Identity Reliability Code
Validé

Home

Street address line
Avenue des Plantiers
Zip Code
06700
City
Saint-Laurent-du-Var
Country
FRA

Birth Delivery Location

Zip Code
94700
City
Maisons-Alfort
INSEE Code
94046
Country
FRA
Patient Identifiers
  • 1088027696362439235220^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-54331^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10707^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 164119404653011^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 164119404653011^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1816^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7a9a78cb-555f-459c-bb9d-2f20f7ae4816
Socio-professional occupation
Retraités
Socio-professional group
Anciens ouvriers
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1964
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
  • 2021-12-29 10:56:11.676 - Patient has been created
  • 2021-12-29 10:56:11.9 - Patient has been sent to SUT (KALISIL KALISIL) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action