Patient information

Luciano Fabbri

Simulated actor
Patient Demographic Supplier
Last modifier
Youn Cadoret
Last modified date
5/28/19 2:52:59 PM (CEST GMT+0200)
First name
Luciano
Last name
Fabbri
Mother's maiden name
Viola
Gender
Male
Date of Birth
11/19/47
Marital status
Identity Reliability Code

Home

Street address line
Via Aretina
Zip Code
50065
City
Pontassieve
Country
ITA
Patient Identifiers
  • LCNFBR47S19G825I^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-60365^^^DDS&1.3.6.1.4.1.12559.11.31.11&ISO (PI)
  • PAT3^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO (PI)
Email
Account number
AN3^^^EFSPM&1.2.250.1.398.1.1.400.1.99.1.2.12&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
60c93c03-913d-434f-ac97-6515c030facc
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1947
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
  • 2019-05-28 14:53:12.833 - Patient has been created by ycadoret
  • 2019-05-28 14:53:12.931 - Patient has been sent to SUT (IHE PIXConsumer) within a ADT^A28^ADT_A05 message by ycadoret
Visit number
Patient status
Patient class
Last modified date
Action