Cypress Certification Patient Test Record: Tony Ward

Patient Tony Ward Sex Male
Date of birth February 1st, 1991 15:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 517fdffd1d41c87e69000060 Cypress
Contact info
Document Id 517fdffd1d41c87e69000060 2.16.840.1.113883.3.72
Document Created: June 21st, 2013 19:22
Author Auto Generated
Contact info Tel: +1-781-271-3000
Document maintained by Cypress
Contact info 202 Burlington Rd.
Bedford, MA 01730
Tel: +1-781-271-3000

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Diagnoses

Description Codes Time Status Results Fields
Diagnosis, Active: Major Depression (Code List: 2.16.840.1.113883.3.464.1003.105.12.1007) SNOMED-CT: 14183003
ICD-9-CM: 296.21
ICD-10-CM: F32.0
October 1st, 2012 12:05 - present active
Diagnosis, Active: Alcohol and Drug Dependence (Code List: 2.16.840.1.113883.3.464.1003.106.12.1001) ICD-9-CM: 305.00
SNOMED-CT: 7200002
ICD-10-CM: F10
November 1st, 2012 12:00 - present active

Encounters

Description Codes Time Status Results Fields
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
November 1st, 2011 12:00 - November 1st, 2011 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
October 1st, 2012 12:00 - October 1st, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
November 1st, 2012 12:00 - November 1st, 2012 13:00 performed
Encounter, Performed: BH Outpatient psychotherapy (Code List: 2.16.840.1.113883.3.1257.1.973) CPT: 90804
November 1st, 2012 12:00 - November 1st, 2012 13:00 performed
Encounter, Performed: Alcohol and Drug Dependence Treatment (Code List: 2.16.840.1.113883.3.464.1003.106.12.1005) SNOMED-CT: 171047005
November 1st, 2012 13:00 - November 1st, 2012 13:00 performed

Medications

Description Codes Time Status Results Fields
Medication, Active: Antidepressant Medication (Code List: 2.16.840.1.113883.3.464.1003.196.12.1213) RxNorm: 1000048
October 1st, 2012 13:00 - present active

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: BH Assessment for alcohol or other drugs (Code List: 2.16.840.1.113883.3.1257.1.1604) SNOMED-CT: 105355005
CPT: 99408
HCPCS: H0001
October 1st, 2012 12:05 - October 1st, 2012 12:05 performed

Interventions

Description Codes Time Status Results Fields
Intervention, Performed: Suicide Risk Assessment (Code List: 2.16.840.1.113883.3.526.3.1484) SNOMED-CT: 225337009
October 1st, 2012 12:05 - October 1st, 2012 12:05 performed

Risk Category Assessments

Description Codes Time Status Results Fields
Risk Category Assessment: PHQ-9 Tool (Code List: 2.16.840.1.113883.3.67.1.101.11.723) LOINC: 44249-1
November 1st, 2012 12:30 - November 1st, 2012 12:30 LOINC: 44249-1 (PHQ-9 Tool)