Patient information

LEON LECOMTE

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
9/21/21 11:17:19 AM (CEST GMT+0200)
First name
LEON (LEON)
Last name
LECOMTE
Mother's maiden name
Martin
Gender
Masculin
Date of Birth
10/30/80
Marital status
Identity Reliability Code
Validé

Address

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

Birth Delivery Location

Zip Code
25200
City
Montbéliard
INSEE Code
25388
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-NIA&1.2.250.1.213.1.4.9&ISO (INS)
  • 180102538843031^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&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
a65e687f-bb02-4a7b-b08e-68b248824db7
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
  • 2021-09-21 11:17:19.863 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
VN2745^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 12/9/21 4:39:56 PM (CET GMT+0100)