Cypress Certification Patient Test Record: Natalie Rodriquez

Patient Natalie Rodriquez 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 5265624b085ee605d600002a Cypress
Contact info
Document Id 5265624b085ee605d600002a 2.16.840.1.113883.3.72
Document Created: December 4th, 2013 20:00
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
January 30th, 2012 12:30 - March 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

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)