Patient information

Allan Bradford

Simulated actor
Connectathon
Last modifier
Souleymane THIAM
Last modified date
8/5/24 5:53:17 PM (CEST GMT+0200)
First name
Allan
Last name
Bradford
Mother's maiden name
Romeo
Gender
Male
Date of Birth
5/9/57
Marital status
Divorced
Identity Reliability Code

Home

Street address line
Via Rocco Carabba
Zip Code
66034
City
Lanciano
Country
ITA
Patient Identifiers
  • LNEFRR57E09E435F^^^IT&2.16.840.1.113883.2.9.4.3.2&ISO (NH)
  • DDS-72904^^^DDS&1.3.6.1.4.1.12559.11.47.3&ISO (PI)
  • IHEFACILITY-31670^^^&8.3.6.1.4.1.21367.3008.1.7&ISO
  • IHEGREEN-31670^^^&8.3.6.1.4.1.21367.13.20.2007&ISO
Email
Account number
Blood group
VIP Indicator
Public
Birth Place Name
UUID
08b9dca3-40f5-4b2d-95b1-c1fd4fa7c029
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1957
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
Visit number
Patient status
Patient class
Last modified date
Action