Cypress Certification Patient Test Record: Sonia Hansen

Patient Sonia Hansen Sex Female
Date of birth September 1st, 1962 14:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 517fe0751d41c87e690000c5 Cypress
Contact info
Document Id 517fe0751d41c87e690000c5 2.16.840.1.113883.3.72
Document Created: June 19th, 2013 18:10
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: Breast Cancer (Code List: 2.16.840.1.113883.3.526.3.389) SNOMED-CT: 109886000
ICD-9-CM: 174.0
ICD-10-CM: C50.011
March 2nd, 2011 09:00 - present active
Diagnosis, Active: Breast Cancer ER or PR Positive (Code List: 2.16.840.1.113883.3.526.3.1303) SNOMED-CT: 416053008
March 2nd, 2012 09:30 - 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
March 2nd, 2012 09:00 - March 2nd, 2012 10:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
May 5th, 2012 00:00 - May 5th, 2012 00:00 performed

Medications

Description Codes Time Status Results Fields
Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy (Code List: 2.16.840.1.113883.3.526.3.1315) RxNorm: 1098617
March 2nd, 2012 10:00 - March 2nd, 2012 10:00 ordered

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Clinical Staging Procedure (Code List: 2.16.840.1.113883.3.526.3.1098) SNOMED-CT: 116783008
March 2nd, 2012 09:30 - March 2nd, 2012 09:30 performed SNOMED-CT: 433431000124101 (Breast Cancer Regional Lymph Node Status N3)
SNOMED-CT: 433411000124107 (Breast Distant Metastasis Status M0)