Patient information

Haneef Khouri

Simulated actor
Patient Identity Source
Last modifier
Ralph Bastiaansen
Last modified date
3/22/22 2:31:05 PM (CET GMT+0100)
First name
Haneef
Last name
Khouri
Mother's maiden name
Hanania
Gender
Male
Date of Birth
1/2/12
Marital status
Identity Reliability Code

Home

Street address line
C Street
Country
SAU
Patient Identifiers
  • DDS-72868^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
test@test.test.com
Mobile Phone Number
06123456789
Account number
AN10809^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
98846970-9d54-4e96-b5d9-553f09763569
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2012
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
  • 2022-03-22 14:31:32.055 - Patient has been created by rbastiaansen
  • 2022-03-22 14:31:33.369 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message by rbastiaansen
Visit number
Patient status
Patient class
Last modified date
Action
VN14142^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/24/22 11:49:33 AM (CEST GMT+0200)
VN14143^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/24/22 11:49:36 AM (CEST GMT+0200)