Patient information

Thomas Dubois

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
12/24/19 9:07:00 AM (CET GMT+0100)
First name
Thomas
Second Name
Titi
Last name
Dubois
Mother's maiden name
Dubois
Gender
Male
Date of Birth
5/20/56
Marital status
Identity Reliability Code

Home

Street address line
Vismarkt
Zip Code
8000
City
Bruges
Country
BEL
Patient Identifiers
  • 560520 801 04^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-66660^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9177^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
70a8b63a-ccbb-4a4a-a4d2-88f9b92d120d
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1956
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-12-24 09:07:01.025 - Patient has been created
  • 2019-12-24 09:07:18.326 - Patient has been sent to SUT (GERA GERA) within a ADT^A47^ADT_A30 message
  • 2019-12-24 09:09:08.706 - Patient has been linked with patient #12896
  • 2019-12-24 09:09:08.727 - Patient has been sent to SUT (GERA GERA) within a ADT^A24^ADT_A24 message
  • 2019-12-30 14:30:06.583 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action