Patient information

Brizio Bassi

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
4/26/19 1:52:17 PM (CEST GMT+0200)
First name
Brizio
Last name
Bassi
Mother's maiden name
Donati
Gender
Male
Date of Birth
8/2/87
Marital status
Identity Reliability Code

Home

Street address line
Via dei Sanniti
Zip Code
81027
City
San Felice a Cancello
Country
ITA
Patient Identifiers
  • BRZBSS87M02H834C^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-65526^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8863^^^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
- - 1987
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action