Patient information

Mario3 Rossi

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
5/12/21 11:39:24 AM (CEST GMT+0200)
First name
Mario3
Last name
Rossi
Gender
Male
Date of Birth
12/24/15
Marital status
Identity Reliability Code

Home

Street address line
Zhonghua Road
Zip Code
54555
City
Puli Township
Country
TWN
Patient Identifiers
  • DDS-72061^^^&http://nuvyta.com/fhir/patient-identifier-master&
Email
Account number
AN10143^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
34fac6f7-75d0-4f19-a964-521eeaebd4b1
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2015
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 11:39:30.113 - Patient has been created by m.trabace
  • 2021-05-12 11:39:30.115 - Patient has been sent to SUT (nuvyta nuplatform) within a ADT^A31^ADT_A05 message by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action