Patient information

Stevanie Frederiks

Simulated actor
Connectathon
Last modifier
Cedric Eoche-Duval
Last modified date
10/23/23 3:40:30 PM (CEST GMT+0200)
First name
Stevanie
Last name
Frederiks
Mother's maiden name
Keizer
Gender
Female
Date of Birth
3/14/02
Marital status
Identity Reliability Code

Home

Street address line
Alberdingk Thijmkade
Zip Code
2274 XV
City
Voorburg
Country
NLD
Patient Identifiers
  • IHEBLUE-3312^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3312^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3312^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3312^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
  • 5809^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN11820^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c9fb08b5-cc8f-4e56-85a2-04c16d656044
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2002
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
  • 2024-05-30 09:27:48.512 - Patient has been sent to SUT (FORTH ICS) within a ADT^A28^ADT_A05 message by ceoche
Visit number
Patient status
Patient class
Last modified date
Action
VN15375^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED W 5/2/24 10:12:46 AM (CEST GMT+0200)