Patient information

Ersilia De Angelis

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/14/21 11:42:43 AM (CEST GMT+0200)
First name
Ersilia
Last name
De Angelis
Mother's maiden name
De santis
Gender
Female
Date of Birth
8/13/63
Marital status
Identity Reliability Code

Home

Street address line
Via del Correggio
Zip Code
42012
City
Correggio
Country
ITA
Patient Identifiers
  • R9988778890-5698^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN10354^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d1a07ea3-7453-455b-870e-7261eb34c1d3
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1963
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-14 11:43:44.92 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action