Cypress Certification Patient Test Record: Randall Warner

Patient Randall Warner Sex Male
Date of birth January 3rd, 1945 16:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 527aa97077fabcc998000032 Cypress
Contact info
Document Id 527aa97077fabcc998000032 2.16.840.1.113883.3.72
Document Created: November 8th, 2013 09:56
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: Heart Failure (Code List: 2.16.840.1.113883.3.526.3.376) SNOMED-CT: 10091002
ICD-9-CM: 428.0
ICD-10-CM: I50.1
January 29th, 2012 10:00 - 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
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
January 29th, 2012 10:00 - January 29th, 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