Cypress Certification Patient Test Record: Adam Dixon
Patient
Adam Dixon
Sex
Date of birth
Date of expiration
Race
Ethnicity
Insurance Providers
Patient IDs
5e43d85363623903e222c651 Cypress
Contact info
QDM::CommunicationPerformed
Description
Codes
Time
Fields/Results
Diabetic Retinopathy
Codes:
SNOMEDCT:
312903003
Time Elements:
Relevant Period Start:
2018-01-24T17:45:00.000Z
Author Date/Time:
2018-01-24T17:45:00.000+00:00
Other Fields:
Diabetic Retinopathy
Codes:
SNOMEDCT:
193350004
Time Elements:
Relevant Period Start:
2018-01-24T17:45:00.000Z
Author Date/Time:
2018-01-24T17:45:00.000+00:00
Other Fields:
QDM::Diagnosis
Description
Codes
Time
Fields/Results
Diabetic Retinopathy
Codes:
ICD9CM:
362.03
SNOMEDCT:
312904009
ICD10CM:
E10.311
Time Elements:
Prevalence Period Start:
2018-01-04T17:30:00.000Z
Other Fields:
Diabetic Retinopathy
Codes:
ICD9CM:
362.03
Time Elements:
Prevalence Period Start:
2018-01-04T17:30:00.000Z
Other Fields:
QDM::DiagnosticStudyPerformed
Description
Codes
Time
Fields/Results
Macular Exam
Codes:
LOINC:
32451-7
Time Elements:
Relevant Period Start:
2018-01-24T17:45:00.000Z
Relevant Period End:
2018-01-24T18:00:00.000Z
Result Date/Time:
2018-01-24T17:45:00.000+00:00
Other Fields:
Component Code:
32451-7 (LOINC)
Component Result:
193350004 (SNOMEDCT)
Component Code:
32451-7 (LOINC)
Component Result:
312903003 (SNOMEDCT)
Result:
193350004 (SNOMEDCT)
QDM::EncounterPerformed
Description
Codes
Time
Fields/Results
Ophthalmological Services
Codes:
CPT:
92004
Time Elements:
Relevant Period Start:
2018-01-04T17:00:00.000Z
Relevant Period End:
2018-01-04T18:00:00.000Z
Other Fields:
Length Of Stay:
0 d
Ophthalmological Services
Codes:
CPT:
92014
Time Elements:
Relevant Period Start:
2018-01-24T17:30:00.000Z
Relevant Period End:
2018-01-24T18:15:00.000Z
Other Fields:
Length Of Stay:
0 d
Ophthalmological Services
Codes:
CPT:
92014
Time Elements:
Relevant Period Start:
2018-02-02T17:00:00.000Z
Relevant Period End:
2018-02-02T18:30:00.000Z
Other Fields:
Length Of Stay:
0 d
QDM::PatientCharacteristicPayer
Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology:
349
Time Elements:
Relevant Period Start:
1947-02-02T15:00:00.000Z
Other Fields:
QDM::PatientCharacteristicBirthdate
Description
Codes
Time
Fields/Results
Codes:
LOINC:
21112-8
Time Elements:
Other Fields:
QDM::PatientCharacteristicSex
Description
Codes
Time
Fields/Results
Codes:
AdministrativeGender:
M
Time Elements:
Other Fields:
QDM::PatientCharacteristicRace
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2106-3
Time Elements:
Other Fields:
QDM::PatientCharacteristicEthnicity
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2186-5
Time Elements:
Other Fields: