Patient information

RINO BERNARDI

Simulated actor
Patient Demographic Consumer
Last modifier
Gazelle_PAM_FR
Last modified date
10/1/21 6:03:51 PM (CEST GMT+0200)
First name
RINO (RINO)
Last name
BERNARDI
Mother's maiden name
Bellini
Gender
Masculin
Date of Birth
7/1/63
Marital status
Identity Reliability Code
Validé

Address

Street address line
Via Fulvio Zamponi
Zip Code
51015
City
Monsummano Terme
Country
ITA

Address

Zip Code
10043
City
Orbassano
Country
ITA

Birth Delivery Location

INSEE Code
99127
Country
ITA
Patient Identifiers
  • DDS-54204^^^DDS&1.3.6.1.4.1.12559.11.36.9&ISO (PI)
  • 10632^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 163079912742855^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 163079912742855^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN1699^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c38ad941-3e28-4c64-bc93-b59521d66256
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- -
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
  • 2021-10-01 18:03:51.565 - Patient has been received from SUT (PAM_FR Gazelle) within a ADT^A28^ADT_A05 message
  • 2021-10-01 18:03:51.569 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action
VN2740^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN ADMITTED I 12/9/21 2:07:50 PM (CET GMT+0100)