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Allergies and Intolerances

Allergies And Intolerances

Allergen | Status | Category | Reaction | Severity | Comments | Onset
Penicilline | active | MEDICATION | rode huiduitslag op armen | moderate | test toelichting | Sun Jan 01 00:00:00 UTC 1995

Medication List

Medication Summary: Medication Requests

Medication | Status | Route | Sig | Comments | Authored Date
METOCLOPRAMIDE 20MG ZETPIL | Unknown | | | | Mon Jul 13 00:00:00 UTC 2015
LISINOPRIL 10MG TABLET | Unknown | | | | Thu Sep 08 16:00:00 UTC 2016
METHOTREXAAT INJVLST 15MG/0,6ML(25MG/ML) WWSP PA | Unknown | | | | Sun Mar 06 08:12:30 UTC 2016

Medication Summary: Medication Statements

Medication | Status | Route | Sig | Date
PANTOPRAZOL 40MG INJPDR | Active | | |

Problem List

Problem List

Medical Problems | Status | Comments | Onset Date
amyotrofische laterale sclerose | active | |
vasculaire dementie | active | De laatste weken erg onrustig in de nacht |
Hartfalen | active | Houdt veel vocht vast, kortademig |
Geneesmiddel-interacties | active | Huiduitslag met veel jeuk door medicatie |
Voogdij | active | |
Multiple sclerose | active | |
Presbyacusis | active | |
Paroxismaal boezemfibrilleren | active | |
abnormaal gewichtsverlies | active | |
bevinding betreffende zwangerschap | active | Mevrouw is vaak misselijk in de ochtend. |
Artrose | active | Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. |
eindstandig colostoma | active | PatiÃ«nt heeft veel last van dit type stoma. | Wed Jan 01 00:00:00 UTC 2014

History of Immunizations

Immunizations

Immunization | Status | Dose Number | Manufacturer | Lot Number | Comments | Date
Hepatitis A-vaccin | COMPLETED | | | | Bezoek aan Guatemala. | Sun Jun 03 00:00:00 UTC 2012
HEPATITIS A, GEINACTIVEERD, INTACT VIRUS | COMPLETED | n/a | | | Bezoek aan Guatemala. | Sun Jun 03 00:00:00 UTC 2012

History of Procedures

History Of Procedures

Procedure | Comments | Date
Placing restraint using limb restraint | | Wed May 01 00:00:00 UTC 2019-Sun May 05 00:00:00 UTC 2019
implantatie van totale knieprothese | |

Medical Devices

Medical Devices

Device | Status | Comments | Date Recorded
elektrisch scheerapparaat | ACTIVE | |
rolstoel | ACTIVE | Kan korte afstanden lopen |
gehoorapparaat | COMPLETED | Apparaat niet zichtbaar (diep in de gehooringang) |
pacemaker | ACTIVE | Laatst doorgemeten in 2011 |
Rollator | ACTIVE | |
| ACTIVE | |
Stomazak | ACTIVE | |
Enkelfocale leesbril | ACTIVE | |

Diagnostic Results

Diagnostic Results: Observations

Code | Result | Unit | Interpretation | Reference Range | Comments | Date
Sodium [Moles/volume] in Blood | 138 | mmol/l | | 136-146 | | Sat Jun 12 11:15:00 UTC 2021
Hepatitis A virus IgM Ab [Presence] in Serum | hepatitis A-test negatief | | | | | Mon Jan 16 10:12:00 UTC 2012
Hemoglobine | 11.5 | mmol/l | Onder referentiebereik | 12.0-16.0 | | Sun Jan 02 11:00:00 UTC 2022
Hematocriet | 45 | % | | 39-51 | | Sun Jan 02 11:00:02 UTC 2022
hemoglobine & hematocriet panel | | | | | |

Vital Signs

Vital Signs

Code | Result | Unit | Interpretation | Comments | Date
Blood pressure panel with all children optional | | | | Fri Feb 08 05:43:00 UTC 2013
Body height | 153 | cm | Met schoenen aan | Fri Feb 08 05:43:00 UTC 2013

Body temperature
Tympanische temperatuur

38.6

Cel

Voeten voelen heel koud aan

Fri Feb 08 04:43:00 UTC 2013

Body weight | 2400 | gram | Luier woog 320 gram | Wed Feb 06 00:00:00 UTC 2013
Head Occipital-frontal circumference | 41 | cm | Gemeten bij 3 maanden | Tue Jun 22 00:00:00 UTC 2021
Heart rate | 126 | /min | Misschien bigeminie? | Fri Feb 08 04:43:00 UTC 2013

Oxygen saturation in Arterial blood
Oxygen saturation in Arterial blood by Pulse oximetry

92

%

Stijgt snel bij aanspreken

Fri Feb 08 04:43:00 UTC 2013

Heart rate Peripheral artery by palpation | 50 | /min | Sportvrouw | Fri Feb 08 05:43:00 UTC 2013

History of Past Illness

Advance Directives

Advance Directives

Scope | Status | Action Controlled | Date
Advanced Care Directive | Active | | Mon Aug 15 00:00:00 UTC 2011
Advanced Care Directive | Active | | Thu May 06 00:00:00 UTC 2010

# entry[].resource.section[].code.coding[].display
Allergies and adverse reactions Document

# entry[].resource.section[].text.div
Allergies And Intolerances

Allergen | Status | Category | Reaction | Severity | Comments | Onset
Penicilline | active | MEDICATION | rode huiduitslag op armen | moderate | test toelichting | Sun Jan 01 00:00:00 UTC 1995

# entry[].resource.section[].text.div
Medication Summary: Medication Requests

Medication | Status | Route | Sig | Comments | Authored Date
METOCLOPRAMIDE 20MG ZETPIL | Unknown | | | | Mon Jul 13 00:00:00 UTC 2015
LISINOPRIL 10MG TABLET | Unknown | | | | Thu Sep 08 16:00:00 UTC 2016
METHOTREXAAT INJVLST 15MG/0,6ML(25MG/ML) WWSP PA | Unknown | | | | Sun Mar 06 08:12:30 UTC 2016

Medication Summary: Medication Statements

Medication | Status | Route | Sig | Date
PANTOPRAZOL 40MG INJPDR | Active | | |

# entry[].resource.section[].text.div
Problem List

Medical Problems | Status | Comments | Onset Date
amyotrofische laterale sclerose | active | |
vasculaire dementie | active | De laatste weken erg onrustig in de nacht |
Hartfalen | active | Houdt veel vocht vast, kortademig |
Geneesmiddel-interacties | active | Huiduitslag met veel jeuk door medicatie |
Voogdij | active | |
Multiple sclerose | active | |
Presbyacusis | active | |
Paroxismaal boezemfibrilleren | active | |
abnormaal gewichtsverlies | active | |
bevinding betreffende zwangerschap | active | Mevrouw is vaak misselijk in de ochtend. |
Artrose | active | Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. |
eindstandig colostoma | active | PatiÃ«nt heeft veel last van dit type stoma. | Wed Jan 01 00:00:00 UTC 2014

# entry[].resource.section[].text.div
Immunizations

Immunization | Status | Dose Number | Manufacturer | Lot Number | Comments | Date
Hepatitis A-vaccin | COMPLETED | | | | Bezoek aan Guatemala. | Sun Jun 03 00:00:00 UTC 2012
HEPATITIS A, GEINACTIVEERD, INTACT VIRUS | COMPLETED | n/a | | | Bezoek aan Guatemala. | Sun Jun 03 00:00:00 UTC 2012

# entry[].resource.section[].text.div
History Of Procedures

Procedure | Comments | Date
Placing restraint using limb restraint | | Wed May 01 00:00:00 UTC 2019-Sun May 05 00:00:00 UTC 2019
implantatie van totale knieprothese | |

# entry[].resource.section[].text.div
Medical Devices

Device | Status | Comments | Date Recorded
elektrisch scheerapparaat | ACTIVE | |
rolstoel | ACTIVE | Kan korte afstanden lopen |
gehoorapparaat | COMPLETED | Apparaat niet zichtbaar (diep in de gehooringang) |
pacemaker | ACTIVE | Laatst doorgemeten in 2011 |
Rollator | ACTIVE | |
| ACTIVE | |
Stomazak | ACTIVE | |
Enkelfocale leesbril | ACTIVE | |

# entry[].resource.section[].text.div
Diagnostic Results: Observations

Code | Result | Unit | Interpretation | Reference Range | Comments | Date
Sodium [Moles/volume] in Blood | 138 | mmol/l | | 136-146 | | Sat Jun 12 11:15:00 UTC 2021
Hepatitis A virus IgM Ab [Presence] in Serum | hepatitis A-test negatief | | | | | Mon Jan 16 10:12:00 UTC 2012
Hemoglobine | 11.5 | mmol/l | Onder referentiebereik | 12.0-16.0 | | Sun Jan 02 11:00:00 UTC 2022
Hematocriet | 45 | % | | 39-51 | | Sun Jan 02 11:00:02 UTC 2022
hemoglobine & hematocriet panel | | | | | |

# entry[].resource.section[].text.div
Vital Signs

Code | Result | Unit | Interpretation | Comments | Date
Blood pressure panel with all children optional | | | | Fri Feb 08 05:43:00 UTC 2013
Body height | 153 | cm | Met schoenen aan | Fri Feb 08 05:43:00 UTC 2013

Body temperature
Tympanische temperatuur

38.6

Cel

Voeten voelen heel koud aan

Fri Feb 08 04:43:00 UTC 2013

Body weight | 2400 | gram | Luier woog 320 gram | Wed Feb 06 00:00:00 UTC 2013
Head Occipital-frontal circumference | 41 | cm | Gemeten bij 3 maanden | Tue Jun 22 00:00:00 UTC 2021
Heart rate | 126 | /min | Misschien bigeminie? | Fri Feb 08 04:43:00 UTC 2013

Oxygen saturation in Arterial blood
Oxygen saturation in Arterial blood by Pulse oximetry

92

%

Stijgt snel bij aanspreken

Fri Feb 08 04:43:00 UTC 2013

Heart rate Peripheral artery by palpation | 50 | /min | Sportvrouw | Fri Feb 08 05:43:00 UTC 2013

# entry[].resource.section[].text.div
Advance Directives

Scope | Status | Action Controlled | Date
Advanced Care Directive | Active | | Mon Aug 15 00:00:00 UTC 2011
Advanced Care Directive | Active | | Thu May 06 00:00:00 UTC 2010

# entry[].resource.text.div
Johanna Petronella Maria VAN PUTTEN-VAN DER GIESSEN

Identifier | 111222333

Address

1e Jacob van Campenstr 15
Hoogmade Nederland

Date of birth | 28 April 1934

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Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Bij gesprek met arts zoon uitnodigen voor vertalen

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Neiging tot ongewenste reactie op geneesmiddel

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Patient, Johanna Petronella Maria J.P.M. Jo van Putten van der Giessen

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Vanaf 1 september 2012 gedurende 5 dagen 1x per dag om 8uur 40 mg (=1 st)

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bevinding betreffende gedrag met betrekking tot medicatieregime

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Healthcare provider (organization), Apotheek De Gulle Gaper

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Drug therapy definitively stopped (finding)

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Healthcare professional (role), D. Bakker

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Vanaf 6 maart 2016 1x per week op maandag om 14uur 15 mg (=0,6 ml)

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METHOTREXAAT INJVLST 15MG/0,6ML(25MG/ML) WWSP PA

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Healthcare professional (role), R. Jansen

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METHOTREXAAT INJVLST 15MG/0,6ML(25MG/ML) WWSP PA

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METHOTREXAAT INJVLST 15MG/0,6ML(25MG/ML) WWSP PA

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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De laatste weken erg onrustig in de nacht

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Huiduitslag met veel jeuk door medicatie

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Mevrouw is vaak misselijk in de ochtend.

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie.

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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PatiÃ«nt heeft veel last van dit type stoma.

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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HEPATITIS A, GEINACTIVEERD, INTACT VIRUS

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HEPATITIS A, GEINACTIVEERD, INTACT VIRUS

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Functional or mental status observation, measurement date 2015-02-23

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Healthcare provider (location), St. Franciscus Gasthuis

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Apparaat niet zichtbaar (diep in de gehooringang)

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Healthcare professional (role), Karel Janssen, Medisch specialisten, cardiologie

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Healthcare provider (location), Academisch Medisch Centrum

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Mobility observation, Rollator is eigen bezit.

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Visual function observation, Verlies van gezichtsvermogen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.patient.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.patient.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.patient.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.patient.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.patient.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Hepatitis A virus IgM Ab [Presence] in Serum

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Blood pressure panel with all children optional

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Bloeddrukmeting met gebruikmaking van manchet

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Standaard (Standaard manchet voor een volwassene (manchet 16x30 cm)

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Ultrasound measurement of skull circumference

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Oxygen saturation in Arterial blood by Pulse oximetry

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Heart rate Peripheral artery by palpation

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria J.P.M. Jo van Putten van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria J.P.M. Jo van Putten van der Giessen

# entry[].resource.subject.display
Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Intacte velrode huid met glanzend aspect.

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen

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Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen