Patient information

MARIA BUIKEMA

Simulated actor
Patient Demographic Supplier
Last modifier
Andy Pilate
Last modified date
1/31/23 4:27:53 PM (CET GMT+0100)
First name
MARIA (MARIA)
Last name
BUIKEMA
Mother's maiden name
Harmense
Gender
Féminin
Date of Birth
3/18/10
Marital status
Identity Reliability Code
Validé

Home

Street address line
Amstenraderweg
Zip Code
6431 EJ
City
Hoensbroek
Country
NLD

Birth Delivery Location

Zip Code
8181 CW
City
Heerde
INSEE Code
99135
Country
NLD
Patient Identifiers
  • DDS-54566^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10837^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 210039913574838^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 210039913574838^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2043^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
abe24ec2-d024-4660-a139-29e2e915dc7d
Socio-professional occupation
Autres personnes sans activité professionnelle
Socio-professional group
Agriculteurs sur grande exploitation
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2010
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
  • 2023-01-31 16:27:56.653 - Patient has been created by andy.pilate
  • 2023-01-31 16:27:57.327 - Patient has been sent to SUT (PAM_F PatientManager) within a ADT^A28^ADT_A05 message by andy.pilate
Visit number
Patient status
Patient class
Last modified date
Action