Patient information

Eula Bianco

Simulated actor
Patient Demographic Supplier
Last modifier
Tony KEREBEL
Last modified date
12/19/19 2:55:04 PM (CET GMT+0100)
First name
Eula
Last name
Bianco
Mother's maiden name
Morelli
Gender
Female
Date of Birth
12/22/57
Marital status
Identity Reliability Code

Home

Street address line
Via Niccolò Machiavelli
Zip Code
41042
City
Fiorano Modenese
Country
ITA
Patient Identifiers
  • LEUBNC57T62D607X^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-66029^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN9136^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
0c150aff-97d6-437d-ab8f-0001919b7665
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1957
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
  • 2019-12-19 14:55:19.146 - Patient has been created by tony
  • 2019-12-19 14:55:19.726 - Patient has been sent to SUT (GERA GERA) within a ADT^A28^ADT_A05 message by tony
  • 2019-12-19 16:03:15.141 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
  • 2019-12-19 16:05:45.791 - Patient has been sent to SUT (GERA GERA) within a ADT^A40^ADT_A39 message
Visit number
Patient status
Patient class
Last modified date
Action