Patient information

Alice Mohr

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
8/16/19 6:22:54 PM (CEST GMT+0200)
First name
Alice (Karen)
Second Name
Karen
Third Name
Test
Last name
Mohr (Apple)
Gender
Female
Date of Birth
7/1/79
Marital status
Annulled
Identity Reliability Code

Home

Street address line
Hoofdweg
Zip Code
2131MA
City
Haarlemmermeer
Country
NLD
Patient Identifiers
  • DDS-65767^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9017^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7f32ce8f-911a-4ec6-a723-69d4d1b244b6
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1979
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
  • 2019-08-16 18:23:04.41 - Patient has been created
  • 2019-08-16 18:23:04.426 - 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_IN201302UV02 message
  • 2019-09-30 15:37:53.814 - 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_IN201304UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN11591^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 4/7/20 10:13:49 AM (CEST GMT+0200)