Patient information

EVA LUKAC

Simulated actor
Patient Demographic Supplier
Last modifier
Clotaire Delanchy
Last modified date
3/29/24 4:33:26 PM (CET GMT+0100)
First name
EVA (EVA )
Last name
LUKAC
Mother's maiden name
Kováčová
Gender
Féminin
Date of Birth
4/4/01
Marital status
Identity Reliability Code
Validé

Home

Street address line
Užhorodská
Zip Code
071 01
City
Michalovce
Country
SVK

Birth Delivery Location

Zip Code
917 01
City
Trnava
INSEE Code
99117
Country
SVK
Patient Identifiers
  • DDS-55099^^^DDS&1.3.6.1.4.1.12559.11.36.3&ISO (PI)
  • 11159^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO (PI)
  • 201049911723593^^^ASIP-SANTE-INS-NIR&1.2.250.1.213.1.4.10&ISO (INS)
  • 201049911723593^^^ASIP-SANTE-INS-NIA&1.2.250.1.213.1.4.9&ISO (INS)
Email
Account number
AN2514^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
77a810a2-db01-4f27-bb05-86b3bf97419d
Socio-professional occupation
1
Socio-professional group
35
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- 0 - 2001
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
  • 2024-03-29 16:33:29.207 - Patient has been created by cdelanchy
  • 2024-03-29 16:33:29.351 - Patient has been sent to SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message by cdelanchy
Visit number
Patient status
Patient class
Last modified date
Action