| Patient | PTCHAR CMS141 | Sex | Male |
| Date of birth | July 5th, 2010 00:00 | Date of expiration | November 13th, 2014 08:00 |
| Race | American Indian or Alaska Native | Ethnicity | Not Hispanic or Latino |
| Insurance Providers | Patient IDs | 5474dbab69702d4f1aeb0300 Cypress | |
| Contact info | |||
| Document Id | 5474dbab69702d4f1aeb0300 2.16.840.1.113883.3.72 |
| Document Created: | November 25th, 2014 21:38 |
| 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 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Patient Characteristic |
SNOMED-CT:
423053003
|
November 25th, 2012 08:00 - November 25th, 2012 08:15 |
| Description | Codes | Time | Status | Results | Fields |
|---|---|---|---|---|---|
| Patient Characteristic Clinical Trial Participant |
SNOMED-CT:
399223003
|
November 25th, 2012 08:00 - November 25th, 2012 08:15 |