Patient information

Keylee De Boer

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
10/23/23 7:56:21 AM (CEST GMT+0200)
First name
Keylee
Last name
De Boer
Mother's maiden name
Christoffel
Gender
Female
Date of Birth
7/10/47
Marital status
Identity Reliability Code

Home

Street address line
Schakelstede
Zip Code
3431 HE
City
Nieuwegein
Country
NLD
Patient Identifiers
  • DDS-74410^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11814^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
84ecbe8d-3373-4552-8f3a-f47a885e30b6
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1947
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
  • 2023-10-23 07:56:51.228 - Patient has been created
  • 2023-10-23 07:56:51.473 - Patient has been sent to SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action