Cypress Certification Patient Test Record: Betty Nelson

Patient Betty Nelson Sex Female
Date of birth February 1st, 1995 15:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 51ec817006d6bb1a38000029 Cypress
Contact info
Document Id 51ec817006d6bb1a38000029 2.16.840.1.113883.3.72
Document Created: July 30th, 2013 18:14
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: Upper Respiratory Infection (Code List: 2.16.840.1.113883.3.464.1003.102.12.1022) SNOMED-CT: 195708003
ICD-9-CM: 460
ICD-10-CM: J00
January 30th, 2012 12:15 - February 15th, 2012 12:15 active
Diagnosis, Active: Depression diagnosis (Code List: 2.16.840.1.113883.3.600.145) SNOMED-CT: 14183003
ICD-9-CM: 296.21
ICD-10-CM: F32.0
January 30th, 2012 12:30 - March 30th, 2012 12:30 active
Diagnosis, Active: Persistent Asthma (Code List: 2.16.840.1.113883.3.464.1003.102.12.1023) SNOMED-CT: 426656000
ICD-10-CM: J45.30
April 30th, 2012 12:05 - present active
Diagnosis, Active: Acute Pharyngitis (Code List: 2.16.840.1.113883.3.464.1003.102.12.1011) ICD-9-CM: 034.0
SNOMED-CT: 1532007
ICD-10-CM: J02.8
April 30th, 2012 12:30 - May 30th, 2012 12:30 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
January 30th, 2012 12:00 - January 30th, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
April 30th, 2012 12:00 - April 30th, 2012 13:00 performed

Medications

Description Codes Time Status Results Fields
Medication, Dispensed: Preferred Asthma Therapy (Code List: 2.16.840.1.113883.3.464.1003.196.12.1212) RxNorm: 1085805
April 30th, 2012 12:05 - April 30th, 2012 12:05 dispensed
Medication, Order: Antibiotic Medications (Code List: 2.16.840.1.113883.3.464.1003.196.12.1001) RxNorm: 105152
April 30th, 2012 12:40 - April 30th, 2012 12:40 ordered

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Influenza Vaccination (Code List: 2.16.840.1.113883.3.526.3.402) SNOMED-CT: 442333005
CPT: 90653
January 30th, 2012 12:00 - January 30th, 2012 12:00 performed

Risk Category Assessments

Description Codes Time Status Results Fields
Risk Category Assessment: Adolescent Depression Screening (Code List: 2.16.840.1.113883.3.600.2452) LOINC: 73831-0
January 30th, 2012 12:25 - January 30th, 2012 12:25 SNOMED-CT: 428171000124102 (Negative Depression Screening)

Interventions

Description Codes Time Status Results Fields
Intervention, Performed: Counseling for Nutrition (Code List: 2.16.840.1.113883.3.464.1003.195.12.1003) SNOMED-CT: 11816003
CPT: 97802
April 30th, 2012 12:30 - April 30th, 2012 12:45 performed

Laboratory Tests

Description Codes Time Status Results Fields
Laboratory Test, Result: Group A Streptococcus Test (Code List: 2.16.840.1.113883.3.464.1003.198.12.1012) LOINC: 11268-0
April 30th, 2012 12:00 - April 30th, 2012 12:00 positive
Laboratory Test, Result: Chlamydia Screening (Code List: 2.16.840.1.113883.3.464.1003.110.12.1052) LOINC: 13217-5
April 30th, 2012 12:05 - April 30th, 2012 12:05 LOINC: 13217-5 (Chlamydia Screening)
Laboratory Test, Order: Pap Test (Code List: 2.16.840.1.113883.3.464.1003.108.12.1017) LOINC: 10524-7
April 30th, 2012 12:15 - April 30th, 2012 12:15 ordered performed