Patient information

Margaux Claes

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
10/20/21 4:36:55 PM (CEST GMT+0200)
First name
Margaux
Last name
Claes
Mother's maiden name
Coppens
Gender
Female
Date of Birth
11/10/99
Marital status
Identity Reliability Code

Home

Street address line
Jaak Lemmenslaan
Country
BEL
Patient Identifiers
  • 991110 258 46^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-72673^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10650^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2b20f67f-d1da-472c-b51a-3e08d41b372e
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1999
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
  • 2021-10-20 16:37:08.077 - Patient has been created by m.trabace
  • 2021-10-20 16:37:13.747 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action