Patient information

Innocenzo Coppola

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
5/12/21 4:42:56 PM (CEST GMT+0200)
First name
Innocenzo
Last name
Coppola
Mother's maiden name
Lombardi
Gender
Male
Date of Birth
4/21/85
Marital status
Identity Reliability Code

Home

Street address line
Via Napoli
Zip Code
81027
City
San Felice a Cancello
Country
ITA
Patient Identifiers
  • NNCCPL85D21H834V^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-72085^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10167^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7e7f90a8-5400-49f8-9f40-572fe2038509
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1985
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
  • 2021-05-12 16:42:56.669 - Patient has been created by m.trabace
  • 2021-05-12 16:43:10.135 - Patient has been linked with patient #14553 by m.trabace
  • 2021-05-12 16:43:10.138 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A24^ADT_A24 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action