Cypress Certification Patient Test Record: Vernon Powell

Patient Vernon Powell Sex Male
Date of birth February 1st, 1941 15:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 517fe2cf1d41c87e6900037d Cypress
Contact info
Document Id 517fe2cf1d41c87e6900037d 2.16.840.1.113883.3.72
Document Created: April 30th, 2013 17:18
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

View By Encounter

Diagnoses

Description Codes Time Status Results Fields
Diagnosis, Active: Primary Open Angle Glaucoma (POAG) (Code List: 2.16.840.1.113883.3.526.3.326) SNOMED-CT: 111513000
ICD-10-CM: H40.10
January 4th, 2012 12:00 - present active
Diagnosis, Active: Diabetic Retinopathy (Code List: 2.16.840.1.113883.3.526.3.327) SNOMED-CT: 193349004
ICD-9-CM: 362.01
ICD-10-CM: E08.311
January 4th, 2012 12:00 - present active

Encounters

Description Codes Time Status Results Fields
Encounter, Performed: Ophthalmological Services (Code List: 2.16.840.1.113883.3.526.3.1285) CPT: 92002
January 4th, 2012 12:00 - January 4th, 2012 13:00 performed
Encounter, Performed: Ophthalmological Services (Code List: 2.16.840.1.113883.3.526.3.1285) CPT: 92002
February 2nd, 2012 12:00 - February 2nd, 2012 13:00 performed

Diagnostic Study Results

Description Codes Time Status Results Fields
Diagnostic Study, Result: Optic Disc Exam for Structural Abnormalities (Code List: 2.16.840.1.113883.3.526.3.1334) LOINC: 71486-5
January 4th, 2012 12:00 - January 4th, 2012 12:00 positive
Diagnostic Study, Result: Cup to Disc Ratio (Code List: 2.16.840.1.113883.3.526.3.1333) LOINC: 71484-0
January 4th, 2012 12:00 - January 4th, 2012 12:00 0.8
Diagnostic Study Result: Macular Exam (Code List: 2.16.840.1.113883.3.526.3.1251) LOINC: 32451-7
January 4th, 2012 12:05 - January 4th, 2012 12:05 SNOMED-CT: 428341000124108 (Macular Edema Findings Absent)
SNOMED-CT: 193349004 (Level of Severity of Retinopathy Findings)
Diagnostic Study, Result: Visual acuity 20/40 or Better (Code List: 2.16.840.1.113883.3.526.3.1483) SNOMED-CT: 422497000
February 2nd, 2012 12:30 - February 2nd, 2012 12:30

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Cataract Surgery (Code List: 2.16.840.1.113883.3.526.3.1411) SNOMED-CT: 10178000
CPT: 66840
January 4th, 2012 12:00 - January 4th, 2012 13:00 performed
Procedure, Performed: Removal Procedures (Code List: 2.16.840.1.113883.3.526.3.1436) SNOMED-CT: 13767004
CPT: 65235
February 2nd, 2012 12:45 - February 2nd, 2012 13:00 performed

Communication From Provider To Providers

Description Codes Time Status Results Fields
Communication: From Provider to Provider: Level of Severity of Retinopathy Findings (Code List: 2.16.840.1.113883.3.526.3.1324) SNOMED-CT: 193349004
January 4th, 2012 12:45 - January 4th, 2012 13:00
Communication: From Provider to Provider: Macular Edema Findings Absent (Code List: 2.16.840.1.113883.3.526.3.1286) SNOMED-CT: 428341000124108
January 4th, 2012 12:45 - January 4th, 2012 13:00