Patient information

EVA LUKAC

Simulated actor
Patient Demographic Consumer
Last modifier
PatientManager_PAM_FR
Last modified date
3/29/24 4:33:29 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
874b1e7d-840d-4e36-a24a-78d42a6a1d13
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
  • 2024-03-29 16:33:29.313 - Patient has been received from SUT (PAM_FR PatientManager) within a ADT^A28^ADT_A05 message
  • 2024-03-29 16:33:29.317 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action