Patient information

Johanna Heekeren

Simulated actor
Patient Identity Source
Last modifier
leon.tieleman
Last modified date
4/14/21 4:40:15 PM (CEST GMT+0200)
First name
Johanna
Last name
Heekeren
Mother's maiden name
Garrabrant
Gender
Female
Date of Birth
12/12/97
Marital status
Divorced
Identity Reliability Code

Home

Street address line
Veldweg
Zip Code
5431CH
City
Cuijk
Country
NLD
Patient Identifiers
  • DDS-72006^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10117^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
70fd2180-aa39-49ae-ae3c-8d3b6ea9f386
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1997
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-04-14 16:40:39.229 - Patient has been created by leon.tieleman
  • 2021-04-14 16:40:41.397 - 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 by leon.tieleman
Visit number
Patient status
Patient class
Last modified date
Action
VN12732^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 5/7/21 10:35:55 AM (CEST GMT+0200)