| Patient | Jeremy Mendez | Sex | Male |
| Date of birth | January 27th, 2001 23:29 | Date of expiration | |
| Race | American Indian or Alaska Native | Ethnicity | Not Hispanic or Latino |
| Insurance Providers | Other | Patient IDs | 5304df1d983a954fed000431 Cypress |
| Contact info | |||
| Document Id | 5304df1d983a954fed000431 2.16.840.1.113883.3.72 |
| Document Created: | February 21st, 2014 16:20 |
| 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 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Diagnosis, Active: Major Depressive Disorder-Active (Code List: 2.16.840.1.113883.3.526.3.1491) |
SNOMED-CT:
14183003
ICD-9-CM: 296.20 ICD-10-CM: F32.0 |
January 10th, 2012 20:49 - January 10th, 2012 20:49 | active |
| 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 10th, 2012 20:29 - January 10th, 2012 21:29 | performed | ||
| Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) |
CPT:
99201
|
October 10th, 2012 20:29 - October 10th, 2012 21:29 | performed |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Medication, Dispensed: ADHD Medications (Code List: 2.16.840.1.113883.3.464.1003.196.12.1171) |
RxNorm:
1009145
|
January 10th, 2012 21:29 - January 10th, 2012 21:29 | dispensed |