| Patient | Sidney Ortega | Sex | Male |
| Date of birth | August 1st, 1987 14:00 | Date of expiration | |
| Race | American Indian or Alaska Native | Ethnicity | Not Hispanic or Latino |
| Insurance Providers | Other | Patient IDs | 517fe0651d41c88084000039 Cypress |
| Contact info | |||
| Document Id | 517fe0651d41c88084000039 2.16.840.1.113883.3.72 |
| Document Created: | April 30th, 2013 16:47 |
| 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 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Diagnosis, Active: Colon Cancer (Code List: 2.16.840.1.113883.3.526.3.391) |
SNOMED-CT:
109838007
ICD-9-CM: 153.0 ICD-10-CM: C18.0 |
March 26th, 2012 12:00 - present | active | ||
| Diagnosis, Active: Prostate Cancer (Code List: 2.16.840.1.113883.3.526.3.319) |
ICD-9-CM:
185
SNOMED-CT: 254900004 ICD-10-CM: C61 |
March 26th, 2012 12:00 - present | active |
| 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 26th, 2012 12:00 - March 26th, 2012 13:00 | performed | ||
| Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) |
CPT:
99201
|
April 23rd, 2012 12:00 - April 23rd, 2012 13:00 | performed |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Medication, Administered: Chemotherapy for Colon Cancer - capecitabine (Code List: 2.16.840.1.113883.3.526.3.1288) |
RxNorm:
200327
|
March 26th, 2012 12:30 - March 26th, 2012 14:30 | administered |
| 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 26th, 2012 12:00 - March 26th, 2012 12:30 | performed |
SNOMED-CT: 433581000124101
(Colon Distant Metastasis Status M0)
SNOMED-CT: 433491000124102 (Colon Cancer Primary Tumor Size T4a) SNOMED-CT: 433571000124104 (Colon Cancer Regional Lymph Node Status N2b) |
|
| Procedure, Performed: Radiation Treatment Management (Code List: 2.16.840.1.113883.3.526.3.1026) |
CPT:
77427
SNOMED-CT: 84755001 |
April 23rd, 2012 12:00 - April 23rd, 2012 12:30 | performed | ||
| Procedure, Performed: Clinical Staging Procedure (Code List: 2.16.840.1.113883.3.526.3.1098) |
SNOMED-CT:
116783008
|
April 23rd, 2012 12:00 - April 23rd, 2012 12:30 | performed |
SNOMED-CT: 433361000124104
(Prostate Cancer Primary Tumor Size T2a)
|
|
| Procedure, Performed: Prostate Cancer Treatment (Code List: 2.16.840.1.113883.3.526.3.398) |
SNOMED-CT:
10492003
CPT: 55810 |
April 23rd, 2012 12:30 - April 23rd, 2012 13:00 | performed |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Risk Category Assessment: Standardized Pain Assessment Tool (Code List: 2.16.840.1.113883.3.526.3.1028) |
LOINC:
38208-5
|
April 23rd, 2012 12:00 - April 23rd, 2012 12:00 |
performed |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Laboratory Test, Result: Prostate Specific Antigen Test (Code List: 2.16.840.1.113883.3.526.3.401) |
LOINC:
10508-0
|
April 23rd, 2012 12:00 - April 23rd, 2012 12:00 |
6 ng/dL |
||
| Laboratory Test, Result: Gleason Score (Code List: 2.16.840.1.113883.3.526.3.397) |
LOINC:
35266-6
|
April 23rd, 2012 12:00 - April 23rd, 2012 12:00 |
4 |