Patient information

MOD_MEDTRONIC Bellini

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
4/10/19 1:07:31 PM (CEST GMT+0200)
First name
MOD_MEDTRONIC
Last name
Bellini
Mother's maiden name
Leone
Gender
Female
Date of Birth
2/3/41
Marital status
Identity Reliability Code

Home

Street address line
Via Giovanni Gavazzeni
Zip Code
23100
City
Sondrio
Country
ITA
Patient Identifiers
  • CLRBLN41B43I829J^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-65324^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8788^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1941
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-04-10 13:08:13.99 - Patient has been created
  • 2019-04-10 13:08:14.094 - Patient has been sent to SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action