Patient information

Thomas Martens

Simulated actor
Patient Identity Source
Last modifier
Yongxin Zhou
Last modified date
7/4/22 8:53:10 AM (CEST GMT+0200)
Warning: this patient is no more active and cannot be updated anymore
First name
Thomas
Last name
Martens
Mother's maiden name
Denis
Gender
Male
Date of Birth
10/29/69
Marital status
Identity Reliability Code

Home

Street address line
Rozenlaan
Zip Code
8700
City
Tielt
Country
BEL
Patient Identifiers
  • 691029 251 10^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-73148^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11078^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
513a1054-574a-4fb5-ae4b-807cef9310b6
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1969
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
  • 2022-07-04 08:53:42.338 - Patient has been created by starwalker
  • 2023-06-06 14:29:53.547 - Patient has been merged with (mon Xi mon Xi) within a ADT^A40^ADT_A39 message patient #16100
Visit number
Patient status
Patient class
Last modified date
Action