Cypress Certification Patient Test Record: Heart_Adult C

Patient	Heart_Adult C	Sex	Male
Date of birth	February 1st, 1972 15:00	Date of expiration
Race	American Indian or Alaska Native	Ethnicity	Not Hispanic or Latino
Insurance Providers	Other	Patient IDs	51df16e91fe297a9ce000276 Cypress
Contact info

Document Id	51df16e91fe297a9ce000276 2.16.840.1.113883.3.72
Document Created:	August 9th, 2013 17:50

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: 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	March 1st, 2012 10:00 - present	active
Diagnosis, Active: Low Back Pain (Code List: 2.16.840.1.113883.3.464.1003.113.12.1001)	SNOMED-CT: 161894002 ICD-9-CM: 721.3 ICD-10-CM: M43.27 Fusion of spine, lumbosacral region	March 1st, 2012 10:30 - present	active
Diagnosis, Active: Limited Life Expectancy (Code List: 2.16.840.1.113883.3.526.3.1259)	SNOMED-CT: 162607003	March 1st, 2012 11:00 - present	active
Diagnosis, Active: All Cancer (Code List: 2.16.840.1.113883.3.464.1003.108.12.1011)	SNOMED-CT: 109267002 ICD-9-CM: 141.0 Malignant neoplasm of base of tongue ICD-10-CM: C00.0	March 1st, 2012 11:00 - 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	March 1st, 2012 10:00 - March 1st, 2012 11:00	performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001)	CPT: 99201	July 1st, 2012 10:00 - July 1st, 2012 11:00	performed

Procedures

Description	Codes	Time	Status	Results	Fields
Not Done: Procedure, Performed: Current Medications Documented SNMD (Code List: 2.16.840.1.113883.3.600.1.462)	SNOMED-CT: 428191000124101	March 1st, 2012 11:00 - March 1st, 2012 11:00	performed		Negation Reason: code_system: SNOMED-CT code: 183932001

Risk Category Assessments

Description	Codes	Time	Status	Results	Fields
Risk Category Assessment: Adult Depression Screening (Code List: 2.16.840.1.113883.3.600.2449)	LOINC: 73832-8 Adult depression screening assessment	March 1st, 2012 11:00 - March 1st, 2012 11:15		SNOMED-CT: 428171000124102 (Depression Screening Result)