Patient information

Matthias Adam

Simulated actor
Patient Demographic Supplier
Last modifier
tony
Last modified date
12/19/19 9:23:32 AM (CET GMT+0100)
First name
Matthias
Last name
Adam
Mother's maiden name
Maes
Gender
Male
Date of Birth
4/21/83
Marital status
Identity Reliability Code

Home

Street address line
Chemin Massart
Zip Code
1480
City
Tubize
Country
BEL
Patient Identifiers
  • 830421 501 58^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-66018^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9125^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c8204fc3-727a-4625-a03d-e06b430a419f
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1983
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-12-19 09:23:36.258 - Patient has been created by tony
  • 2019-12-19 09:23:37.114 - Patient has been sent to SUT (GERA GERA) within a ADT^A28^ADT_A05 message by tony
Visit number
Patient status
Patient class
Last modified date
Action