Cypress Certification Patient Test Record: Rose Lewis

Patient Rose Lewis Sex Female
Date of birth December 1st, 1988 15:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 52e1713ebca662f4020000ae Cypress
Contact info
Document Id 52e1713ebca662f4020000ae 2.16.840.1.113883.3.72
Document Created: January 23rd, 2014 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: Pregnancy Dx (Code List: 2.16.840.1.113883.3.600.1.1623) ICD-10-CM: O62.3
March 1st, 2012 10:00 - March 1st, 2012 11:00 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
October 20th, 2012 11:00 - October 20th, 2012 12:00 performed

Diagnostic Studies

Description Codes Time Status Results Fields
Diagnostic Study, Order: X-Ray Study (all inclusive) (Code List: 2.16.840.1.113883.3.464.1003.198.12.1034) LOINC: 24533-2
March 1st, 2012 11:00 - March 1st, 2012 11:00 ordered

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Delivery (Code List: 2.16.840.1.113883.3.67.1.101.1.278) SNOMED-CT: 10745001
CPT: 59400
October 20th, 2012 11:00 - October 20th, 2012 12:00 performed

Laboratory Tests

Description Codes Time Status Results Fields
Laboratory Test, Ordered: Pregnancy Test (Code List: 2.16.840.1.113883.3.464.1003.111.12.1011) LOINC: 19080-1
March 1st, 2012 10:00 - March 1st, 2012 10:00 ordered