Cypress Certification Patient Test Record: Roy Potter

Patient Roy Potter Sex Male
Date of birth February 1st, 1942 11:30 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 51d2974728f260da7d00005b Cypress
Contact info
Document Id 51d2974728f260da7d00005b 2.16.840.1.113883.3.72
Document Created: July 2nd, 2013 09:16
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: Atrial Fibrillation/Flutter (Code List: 2.16.840.1.113883.3.117.1.7.1.202) SNOMED-CT: 195080001
ICD-9-CM: 427.31
ICD-10-CM: I48.0
May 10th, 2009 10:00 - present active
Diagnosis, Active: Valvular Heart Disease (Code List: 2.16.840.1.113883.3.464.1003.104.12.1017) ICD-9-CM: 093.20
SNOMED-CT: 8722008
ICD-10-CM: A52.03
May 10th, 2011 10:00 - July 1st, 2011 00:00 active
Diagnosis, Active: Coronary Artery Disease No MI (Code List: 2.16.840.1.113883.3.526.3.369) SNOMED-CT: 123641001
ICD-9-CM: 411.0
ICD-10-CM: I20.0
April 1st, 2012 12:05 - present active
Diagnosis, Active: Moderate or Severe LVSD (Code List: 2.16.840.1.113883.3.526.3.1090) SNOMED-CT: 981000124106
April 1st, 2012 12:05 - present active
Diagnosis, Active: Ischemic Vascular Disease (Code List: 2.16.840.1.113883.3.464.1003.104.12.1003) SNOMED-CT: 123641001
ICD-9-CM: 411.0
ICD-10-CM: I20.0
April 1st, 2012 12:05 - present active
Diagnosis, Active: Heart Failure (Code List: 2.16.840.1.113883.3.526.3.376) SNOMED-CT: 10091002
ICD-9-CM: 428.0
ICD-10-CM: I50.1
April 1st, 2012 12:05 - present active
Diagnosis, Active: Hypertension (Code List: 2.16.840.1.113883.3.464.1003.104.12.1016) SNOMED-CT: 10725009
ICD-9-CM: 401.1
April 1st, 2012 12:05 - 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
April 1st, 2012 12:00 - April 1st, 2012 13:00 performed
Encounter, Performed: Blood Pressure Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1056) SNOMED-CT: 185349003
CPT: 99202
April 1st, 2012 12:30 - April 1st, 2012 12:30 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
May 7th, 2012 12:00 - May 7th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
June 4th, 2012 12:00 - June 4th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
July 10th, 2012 12:00 - July 10th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
August 12th, 2012 12:00 - August 12th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
September 11th, 2012 12:00 - September 11th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
October 9th, 2012 12:00 - October 9th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
October 17th, 2012 12:00 - October 17th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
October 31st, 2012 12:00 - October 31st, 2012 13:00 performed

Medications

Description Codes Time Status Results Fields
Medication, Active: Warfarin (Code List: 2.16.840.1.113883.3.117.1.7.1.232) RxNorm: 855288
May 10th, 2011 00:00 - present active
Cumulative Medication Duration: 566 days

Physical Exams

Description Codes Time Status Results Fields
Physical Exam, Finding: Systolic Blood Pressure (Code List: 2.16.840.1.113883.3.526.3.1032) LOINC: 8480-6
April 1st, 2012 12:30 - April 1st, 2012 12:30 150 mmHg

Laboratory Tests

Description Codes Time Status Results Fields
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
April 1st, 2012 12:05 - April 1st, 2012 12:05 2.2
Laboratory Test, Performed: LDL Test (Code List: 2.16.840.1.113883.3.464.1003.198.12.1016) LOINC: 12773-8
April 1st, 2012 12:05 - April 1st, 2012 12:05 performed
Laboratory Test, Result: HDL-C Laboratory Test (Code List: 2.16.840.1.113883.3.464.1003.104.12.1012) LOINC: 2085-9
April 1st, 2012 12:05 - April 1st, 2012 12:05 37 mg/dL
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
May 7th, 2012 12:05 - May 7th, 2012 12:05 2.0
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
June 4th, 2012 12:05 - June 4th, 2012 12:05 2.7
Laboratory Test, Result: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
July 10th, 2012 12:05 - July 10th, 2012 12:05 2.2
Laboratory Test, Result: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
August 12th, 2012 12:05 - August 12th, 2012 12:05 2.3
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
September 11th, 2012 12:05 - September 11th, 2012 12:05 2.8
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
October 9th, 2012 12:05 - October 9th, 2012 12:05 2.8
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
October 17th, 2012 12:05 - October 17th, 2012 12:05 2.1
Laboratory Test: INR (Code List: 2.16.840.1.113883.3.117.1.7.1.213) LOINC: 34714-6
October 31st, 2012 12:05 - October 31st, 2012 12:05 1.8