Patient information

LEON LECOMTE

Simulated actor
Patient Demographic Supplier
Last modifier
Malo Toudic
Last modified date
9/21/21 11:17:15 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

Home

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
03f4594a-70b0-42bb-be6f-989f2685eab3
Socio-professional occupation
Professions Intermédiaires
Socio-professional group
Techniciens
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 1980
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 11:17:19.711 - Patient has been created by mtoudic
  • 2021-09-21 11:17:19.9 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A31^ADT_A05 message by mtoudic
  • 2021-09-29 11:41:10.446 - Patient has been sent to SUT (DEDALUS KALISIL) within a ADT^A28^ADT_A05 message by mtoudic
Visit number
Patient status
Patient class
Last modified date
Action