Patient information

Daan Willems

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/25/23 5:37:42 PM (CEST GMT+0200)
First name
Daan
Last name
Willems
Mother's maiden name
Maes
Gender
Masculin
Date of Birth
2/7/80
Marital status
Identity Reliability Code

Home

Street address line
rue Saint Antoine
Zip Code
6230
City
Pont-à-Celles
Country
BEL
Patient Identifiers
  • 800207 249 71^^^BE&UNKNOWN&ISO (NH)
  • DDS-52718^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN449^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
02a9fb17-f5dc-4a75-bf35-8bf7c5795503
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1980
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
Visit number
Patient status
Patient class
Last modified date
Action
VN491^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN I 2/8/17 5:45:12 PM (CET GMT+0100)
VN491^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 2/8/17 5:45:12 PM (CET GMT+0100)