Patient information

Mickey Mouse

Simulated actor
Patient Demographic Supplier
Last modifier
aberge
Last modified date
10/4/18 3:15:42 PM (IST GMT+0100)
First name
Mickey
Last name
Mouse
Mother's maiden name
Lambert
Gender
Male
Date of Birth
7/31/72
Marital status
Identity Reliability Code

Home

Street address line
Ursulinenstraat
Zip Code
1840
City
Londerzeel
Country
BEL
Patient Identifiers
  • 720731 815 10^^^BE&1.3.6.1.4.1.21297.100.1.1&ISO (NH)
  • DDS-74^^^DDS&1.3.6.1.4.1.12559.11.35.11&ISO (PI)
  • GZLPID2^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO (PI)
Email
Account number
GZLAN2^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0305bb7d-0639-4a32-976c-335f4019f1cd
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1972
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action