Cypress Certification Patient Test Record: Diabetes_Peds B

Patient Diabetes_Peds B Sex Female
Date of birth February 1st, 2002 15:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 502bace9044a116261000002 Cypress
Contact info
Document Id 502bace9044a116261000002 2.16.840.1.113883.3.72
Document Created: April 17th, 2013 19:53
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: Diabetes (Code List: 2.16.840.1.113883.3.464.1003.103.12.1001) SNOMED-CT: 190330002
ICD-9-CM: 250.00
ICD-10-CM: E10.10
February 1st, 2011 12:00 - present active

Encounters

Description Codes Time Status Results Fields
Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) SNOMED-CT: 185349003
CPT: 99381
February 1st, 2011 12:00 - February 1st, 2011 12:00 performed
Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) SNOMED-CT: 185349003
CPT: 99381
February 1st, 2012 11:00 - February 1st, 2012 12:00 performed

Laboratory Tests

Description Codes Time Status Results Fields
Laboratory Test, Result: HbA1c Laboratory Test (Code List: 2.16.840.1.113883.3.464.1003.198.12.1013) LOINC: 17855-8
February 1st, 2012 12:00 - February 1st, 2012 12:00 7 %