| Patient | Crystal Williamson | Sex | Female |
| Date of birth | June 7th, 1994 15:30 | Date of expiration | |
| Race | CDC-RE: | Ethnicity | CDC-RE: |
| Insurance Providers | Medicaid | Patient IDs | 5b83f8aa636239127ef0dd93 Cypress |
| Contact info | |||
| Document Id | 5b83f8aa636239127ef0dd93 2.16.840.1.113883.3.72 |
| Document Created: | August 27th, 2018 13:12 |
| 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 |
|---|---|---|---|---|---|
| Procedure |
SNOMED-CT:
110473004
CPT: 66852 |
February 4th, 2019 08:00 - February 4th, 2019 10:15 | performed |