Patient information

Marcellette Dulac

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
10/17/16 11:53:32 AM (CEST GMT+0200)
First name
Marcellette
Last name
Dulac
Mother's maiden name
Fritz
Gender
Féminin
Date of Birth
12/6/98
Marital status
Identity Reliability Code

Home

Street address line
Rue Aldric Crevel
Zip Code
76290
City
Montivilliers
Country
FRA
Patient Identifiers
  • 17295226381902647082 47^^^FR&1.2.250.1.213.1.4.2&ISO (NH)
  • DDS-52671^^^DDS&2.16.840.1.113883.2.8.3.8&ISO (PI)
Email
Account number
AN402^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
329118f0-0c5a-4860-9363-ed918a406c41
Socio-professional occupation
1
Socio-professional group
23
Lunar Date
- - 1998
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN364^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN O 10/17/16 11:53:40 AM (CEST GMT+0200)
VN364^^^GZL_INTEROP&2.16.840.1.113883.2.8.3.7&ISO^VN REGISTERED O 10/17/16 11:53:40 AM (CEST GMT+0200)