Patient information

Laura Willems

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
8/4/21 3:38:56 PM (CEST GMT+0200)
First name
Laura
Last name
Willems
Mother's maiden name
Janssens
Gender
Female
Date of Birth
3/5/41
Marital status
Identity Reliability Code

Home

Street address line
Baaskouter
Zip Code
1730
City
Asse
Country
BEL
Patient Identifiers
  • DDS-7254489489198^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10568^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e27a8893-e2ad-4a1b-9e4c-af19d14ebacf
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1941
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 15:39:13.671 - Patient has been created
  • 2021-08-04 15:39:19.309 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action