Patient information

Crocetta Conte

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
9/13/21 12:17:57 PM (CEST GMT+0200)
First name
Crocetta
Last name
Conte
Mother's maiden name
Rossetti
Gender
Female
Date of Birth
11/8/72
Marital status
Identity Reliability Code

Home

Street address line
Via Bartolucci
Zip Code
63811
City
Sant'Elpidio a Mare
Country
ITA
Patient Identifiers
  • CRCCNT72S48I324S^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-72629^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10611^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
7e4267aa-4f15-456c-97cb-326981e5edd3
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1972
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
  • 2021-09-13 12:18:04.876 - Patient has been created by m.trabace
  • 2021-09-13 12:18:11.757 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A28^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action