Patient information

Sarah Devos

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
6/23/21 2:56:09 PM (CEST GMT+0200)
First name
Sarah
Last name
Devos
Mother's maiden name
Maes
Gender
Female
Date of Birth
12/14/52
Marital status
Identity Reliability Code

Home

Street address line
Deken Darraslaan
Zip Code
8700
City
Tielt
Country
BEL
Patient Identifiers
  • 521214 526 36^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-72417^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10429^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2fd2c2ce-0815-4f48-9bf7-ed3f325c8c8f
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1952
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
  • 2021-06-23 14:56:15.243 - Patient has been created by m.trabace
  • 2021-06-23 14:56:20.588 - 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