Patient information

Biagino Carli

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/29/24 4:19:19 PM (CEST GMT+0200)
First name
Biagino
Last name
Carli
Mother's maiden name
Coppola
Gender
Male
Date of Birth
12/24/87
Marital status
Identity Reliability Code

Home

Street address line
Via Gaetano Donizetti
Zip Code
47042
City
Cesenatico
Country
ITA
Patient Identifiers
  • BGNCRL87T24C574Z^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-74615^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11945^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
b28a9be0-651a-4ca8-8b63-d50a8e1f9234
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1987
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
  • 2024-04-29 16:19:26.981 - Patient has been created
  • 2024-05-10 10:55:44.549 - Patient has been sent to SUT (MHS MHS) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action