| Patient | Terry Burns | Sex | Female |
| Date of birth | February 1st, 2002 15:00 | Date of expiration | |
| Race | American Indian or Alaska Native | Ethnicity | Not Hispanic or Latino |
| Insurance Providers | Other | Patient IDs | 5372a5801d41c8eff7000015 Cypress |
| Contact info | |||
| Document Id | 5372a5801d41c8eff7000015 2.16.840.1.113883.3.72 |
| Document Created: | May 13th, 2014 23:07 |
| 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 |
|---|---|---|---|---|---|
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
February 1st, 2011 12:00 - February 1st, 2011 13:00 | performed | ||
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
February 1st, 2012 11:00 - February 1st, 2012 12:00 | performed | ||
| Encounter, Performed: Diabetes Visit (Code List: 2.16.840.1.113883.3.464.1003.103.12.1012) |
SNOMED-CT:
185349003
CPT: 99381 |
October 10th, 2012 12:00 - October 10th, 2012 12:15 | performed |