Patient information

Johannes Van Emburgh

Simulated actor
Patient Demographic Supplier
Last modifier
Dàmaris Navio
Last modified date
4/23/24 3:18:54 PM (CEST GMT+0200)
First name
Johannes
Last name
Van Emburgh
Mother's maiden name
Fredrickse
Gender
Male
Date of Birth
5/21/82
Marital status
Identity Reliability Code

Home

Street address line
Dorpstraat
Zip Code
6361 EL
City
Kamp
Country
NLD
Patient Identifiers
  • DDS-74583^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
  • IHEBLUE-3327^^^IHEBLUE&1.3.6.1.4.1.21367.13.20.3000&ISO (PI)
  • IHEFACILITY-3327^^^IHEFACILITY&1.3.6.1.4.1.21367.3000.1.6&ISO (PI)
  • IHEGREEN-3327^^^IHEGREEN&1.3.6.1.4.1.21367.13.20.2000&ISO (PI)
  • IHERED-3327^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN11914^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
202e6020-e4f9-4934-8fb4-49be4e779d4a
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1982
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
  • 2024-04-23 15:19:03.508 - Patient has been created by dnavio
  • 2024-04-23 15:19:04.167 - Patient has been sent to SUT (SLConnectathon Synapse Link) within a ADT^A28^ADT_A05 message by dnavio
  • 2024-04-25 16:20:18.68 - Patient has been sent to SUT (SLConnectathon Synapse Link) within a ADT^A28^ADT_A05 message by dnavio
Visit number
Patient status
Patient class
Last modified date
Action