Patient information

Pierre Adam

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/19/19 3:03:54 PM (CET GMT+0100)
First name
Pierre
Last name
Adam
Mother's maiden name
Janssens
Gender
Male
Date of Birth
1/11/49
Marital status
Identity Reliability Code

Home

Street address line
Isenbaertstraat
Zip Code
8210
City
Zedelgem
Country
BEL
Patient Identifiers
  • 490111 497 15^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-66014^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9120^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d673265e-7a9a-47f8-bf96-e193ca62d11b
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1949
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-12-19 15:03:54.274 - Patient has been created by tony
  • 2019-12-19 15:04:03.23 - Patient has been sent to SUT (GERA GERA) within a ADT^A47^ADT_A30 message
  • 2019-12-19 15:57:04.662 - 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