| Patient | GP_Peds B | 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 | 51df16e91fe297a9ce0001ef Cypress |
| Contact info | |||
| Document Id | 51df16e91fe297a9ce0001ef 2.16.840.1.113883.3.72 |
| Document Created: | August 9th, 2013 17:57 |
| 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: 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 |
| 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 |
| 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 |
| 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 |
| 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)
|
| 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 |
| 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 |