Patient information

Meo Serra

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
10/27/21 10:19:41 AM (CEST GMT+0200)
First name
Meo
Last name
Serra
Mother's maiden name
De Luca
Gender
Male
Date of Birth
8/9/56
Marital status
Identity Reliability Code

Home

Street address line
Via Claudio
Zip Code
04011
City
Aprilia
Country
ITA
Patient Identifiers
  • MEOSRR56M09A341P^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-72688^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10659^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
dc4b26cf-ab33-4371-9c73-58789effb0db
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1956
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
  • 2021-10-27 10:19:43.702 - Patient has been created by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action