Patient information

Marie Adam

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
4/10/20 7:37:45 AM (CEST GMT+0200)
First name
Marie
Last name
Adam
Mother's maiden name
Adam
Gender
Female
Date of Birth
2/16/89
Marital status
Separated
Identity Reliability Code

Home

Street address line
Aandorenstraat
Zip Code
3300
City
Tienen
Country
BEL
Patient Identifiers
  • DDS-65701^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • 890216 630 94^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
Email
Account number
AN9011^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9a3b8d4c-b6e3-4447-970f-639c02764447
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1989
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
  • 2020-04-10 07:37:45.806 - Patient has been created
  • 2020-04-10 07:38:33.923 - Patient has been sent to SUT (ALLSCRIPTS PAT_IDENTITY_X_REF_M) within a ADT^A47^ADT_A30 message
  • 2020-04-10 08:14:55.259 - Patient has been sent to SUT (ALLSCRIPTS PAT_IDENTITY_X_REF_M) within a ADT^A28^ADT_A05 message
  • 2020-04-10 09:44:05.079 - Patient has been sent to SUT (ALLSCRIPTS PAT_IDENTITY_X_REF_M) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
VN13538^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 11/11/21 9:46:53 AM (CET GMT+0100)