Patient information

Taieb Arab

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
2/14/24 5:53:32 PM (CET GMT+0100)
First name
Taieb
Last name
Arab
Mother's maiden name
Verbeke
Gender
Male
Date of Birth
10/31/88
Marital status
Identity Reliability Code

Home

Street address line
Rue de Maubeuge
Zip Code
7340
City
Colfontaine
Country
BEL
Patient Identifiers
  • 881031 379 27^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-74505^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11879^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
62ab972b-e6ae-44b6-a358-c837a12fc6d3
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1988
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
  • 2024-02-14 17:54:15.236 - Patient has been created
  • 2024-02-14 17:54:15.33 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A31^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action