Patient information

Modesto Donati

Simulated actor
Patient Demographic Consumer
Last modifier
Unknown user
Last modified date
10/8/25 5:27:08 PM (CEST GMT+0200)
First name
Modesto
Last name
Donati
Mother's maiden name
Pellegrino
Gender
Male
Date of Birth
1968/05/11
Marital status
Identity Reliability Code

Home

Street address line
Via Giulia
Zip Code
96019
City
Rosolini
Country
ITA
Patient Identifiers
  • DDS-75596^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN12404^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
e6a9801b-905d-4293-9aad-db85e4e97eee
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
  • 2025-10-08 17:27:08.576 - Patient has been received from SUT (IHE PAMSimulator) within a ADT^A28^ADT_A05 message
  • 2025-10-08 17:27:08.579 - Patient has been created
  • 2025-10-08 17:31:46.398 - Patient has been merged with (IHE PAMSimulator) within a ADT^A40^ADT_A39 message patient #17041
Visit number
Patient status
Patient class
Last modified date
Action
Patient's PHR status
Status collection date
Closing date
Information et opposition à l'alimentation
Date de recueil de l'information et opposition à l'alimentation
Information et consentement à la consultation du DMP
Date de recueil de l'information et consentement à la consultation