Patient information

Pippo Prova

Simulated actor
Patient Demographic Supplier
Last modifier
fgatto
Last modified date
2/26/20 1:03:08 PM (CET GMT+0100)
Warning: this patient is no more active and cannot be updated anymore
First name
Pippo
Second Name
Weblab
Last name
Prova
Mother's maiden name
Kováč
Gender
Male
Date of Birth
2/24/84
Marital status
Identity Reliability Code

Home

Street address line
Športová
Zip Code
920 01
City
Hlohovec
Country
SVK

Legal address

Street address line
VIa Qualunque, 15
Zip Code
30035
City
VENEZIA
State
ITALY
Country
IT
Patient Identifiers
  • DDS-66373^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
prova@mail.it
Account number
AN9285^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e492f0ca-89d9-41cf-9ac1-cf8f94332f8a
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1984
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2020-02-26 13:03:15.956 - Patient has been created by fgatto
  • 2020-02-26 13:03:15.973 - Patient has been sent to SUT (TESI OF_TESI_WEBLAB) within a ADT^A31^ADT_A05 message by fgatto
  • 2020-02-26 13:48:39.57 - Patient has been sent to SUT (TESI OF_TESI_WEBLAB) within a ADT^A40^ADT_A39 message
  • 2020-03-02 14:42:19.268 - Patient has been changed Id patient #13010 by fgatto
Visit number
Patient status
Patient class
Last modified date
Action