Patient information

Maria Teetaert

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_PAM_FR
Last modified date
5/16/24 11:09:40 AM (CEST GMT+0200)
First name
Maria
Last name
Teetaert
Mother's maiden name
Van Bussen
Gender
Féminin
Date of Birth
9/15/70
Marital status
Identity Reliability Code
Provisoire

Home

Street address line
Marseillepad
Zip Code
2711 CH
City
Zoetermeer
Country
NLD
Patient Identifiers
  • DDS-55111^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
Email
Account number
AN2526^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
784203f9-a305-4212-94a9-e4622b797dcd
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2024-05-16 11:09:40.224 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-05-16 11:09:40.225 - Patient has been created
  • 2024-05-16 11:13:12.399 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action