Patient information

Thomas Janssens

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
7/28/22 2:10:42 PM (CEST GMT+0200)
First name
Thomas
Last name
Janssens
Mother's maiden name
Adam
Gender
Male
Date of Birth
10/20/20
Marital status
Identity Reliability Code

Home

Street address line
Schoko
Zip Code
45723
City
Brussels
Country
BEL
Patient Identifiers
  • 201020 761 31^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-73259^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11142^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
bd682eb5-3b14-4b3d-97ba-762ce0009a2b
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2020
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
  • 2022-07-28 14:11:32.227 - Patient has been created
  • 2022-07-28 14:11:32.348 - Patient has been sent to SUT (TESI OF_TESI_WEBLAB) within a ADT^A28^ADT_A05 message
  • 2022-09-01 11:39:29.428 - Patient has been sent to SUT (IF ECM) within a ADT^A28^ADT_A05 message
  • 2023-05-26 08:32:20.562 - Patient has been linked with patient #15998
Visit number
Patient status
Patient class
Last modified date
Action