Cypress Certification Patient Test Record: Jaime Pope

Patient Jaime Pope Sex Male
Date of birth January 3rd, 1945 14:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 524db44b719ffbd26f000cc5 Cypress
Contact info
Document Id 524db44b719ffbd26f000cc5 2.16.840.1.113883.3.72
Document Created: October 15th, 2013 20:28
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

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
August 1st, 2011 10:00 - August 1st, 2011 11:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
October 1st, 2011 10:00 - October 1st, 2011 11:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
February 1st, 2012 10:00 - February 1st, 2012 11:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
June 1st, 2012 10:00 - June 1st, 2012 11:00 performed

Functional Status Results

Description Codes Time Status Results Fields
Functional Status, Result: Functional Status Assessment for Knee Replacement (Code List: 2.16.840.1.113883.3.464.1003.118.12.1030) LOINC: 71955-9
August 1st, 2011 10:00 - August 1st, 2011 11:00
Functional Status, Result: Functional Status Assessment for Hip Replacement (Code List: 2.16.840.1.113883.3.464.1003.118.12.1029) LOINC: 71955-9
August 1st, 2011 10:00 - August 1st, 2011 11:00
Functional Status, Result: Functional Status Assessment for Hip Replacement (Code List: 2.16.840.1.113883.3.464.1003.118.12.1029) LOINC: 71955-9
February 1st, 2012 10:00 - February 1st, 2012 10:15
Functional Status, Result: Functional Status Assessment for Knee Replacement (Code List: 2.16.840.1.113883.3.464.1003.118.12.1030) LOINC: 71955-9
February 1st, 2012 10:15 - February 1st, 2012 10:30

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Primary THA Procedure (Code List: 2.16.840.1.113883.3.464.1003.198.12.1006) SNOMED-CT: 15163009
CPT: 27130
HCPCS: S2118
September 1st, 2011 10:00 - September 1st, 2011 11:00 performed