Cypress Certification Patient Test Record: Jessica Dean

Patient Jessica Dean Sex Female
Date of birth January 2nd, 1937 15:30 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 53072c611d41c86a13000047 Cypress
Contact info
Document Id 53072c611d41c86a13000047 2.16.840.1.113883.3.72
Document Created: February 21st, 2014 10:38
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: Essential Hypertension (Code List: 2.16.840.1.113883.3.464.1003.104.12.1011) SNOMED-CT: 10725009
ICD-9-CM: 401.1
July 1st, 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
March 1st, 2012 12:00 - March 1st, 2012 13:00 performed
Encounter, Performed: Office Visit (Code List: 2.16.840.1.113883.3.464.1003.101.12.1001) CPT: 99201
July 1st, 2012 10:00 - July 1st, 2012 11:00 performed

Procedures

Description Codes Time Status Results Fields
Procedure, Performed: Dialysis Services (Code List: 2.16.840.1.113883.3.464.1003.109.12.1013) SNOMED-CT: 108241001
CPT: 90920
HCPCS: G0257
July 1st, 2012 10:00 - July 1st, 2012 13:00 performed