Patient information

Niels Bauwens

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
8/4/21 10:10:27 AM (CEST GMT+0200)
First name
Niels
Last name
Bauwens
Mother's maiden name
Denis
Gender
Male
Date of Birth
1/3/94
Marital status
Identity Reliability Code

Home

Street address line
Rue Damzelles
Zip Code
4400
City
Flémalle
Country
BEL
Patient Identifiers
  • DDS-72541eygferofb^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10565^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c9d5026b-e5df-4c55-970d-ff96c22531d1
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1994
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
  • 2021-08-04 10:10:47.015 - Patient has been created by m.trabace
  • 2021-08-04 10:10:52.641 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action