Patient information

Sarah Wouters

Simulated actor
Patient Demographic Supplier
Last modifier
zaki ziko
Last modified date
12/2/21 11:59:55 AM (CET GMT+0100)
First name
Sarah
Last name
Wouters
Mother's maiden name
Devos
Gender
Female
Date of Birth
6/27/57
Marital status
Identity Reliability Code

Home

Street address line
Kolmen
Zip Code
3980
City
Tessenderlo
Country
BEL
Patient Identifiers
  • 570627 464 62^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-72790^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10747^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
76fecf2c-adc3-4cd1-a5b4-00a43ad554e5
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1957
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
  • 2021-12-02 12:00:42.484 - Patient has been created by zaki
Visit number
Patient status
Patient class
Last modified date
Action