Patient information

Maria Holbein

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
5/28/19 7:24:29 AM (CEST GMT+0200)
First name
Maria
Last name
Holbein
Mother's maiden name
Overmars
Gender
Male
Date of Birth
6/21/55
Marital status
Identity Reliability Code

Home

Street address line
Contr' Escarpe
Zip Code
4691BB
City
Tholen
Country
NLD
Patient Identifiers
  • DDS-65661^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8935^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1955
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-05-28 07:24:51.037 - Patient has been created
  • 2019-05-28 07:24:55.204 - 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