Patient information

Mitchel Edema

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
8/27/20 12:55:29 PM (CEST GMT+0200)
First name
Mitchel
Last name
Edema
Mother's maiden name
Juroksen
Gender
Male
Date of Birth
9/14/51
Marital status
Identity Reliability Code

Home

Street address line
Bosstraat
Zip Code
6121LL
City
Sittard-Geleen
Country
NLD
Patient Identifiers
  • DDS-71005^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9517^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
895c8012-740f-4083-b7e6-a63b5dddb69d
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1951
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2020-08-27 12:55:32.862 - Patient has been created
  • 2020-08-27 12:55:37.362 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action