Cypress Certification Patient Test Record: Trixie Wheeler

Patient
Trixie Wheeler
Sex
F - Female
Date of birth
1946-02-03 15:30:00 UTC
Date of expiration
None
Race
2106-3 - White
Ethnicity
2186-5 - Not Hispanic or Latino
Insurance Providers
349 - Other
Patient IDs
600b343f6362390374dc44dc Cypress
Address
24154 Margaret Trace Motorway
Petemouth, AR 71795
US
Telecom
(HP) 126-409-8246

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Office Visit
Codes:
CPT: 99213 - Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
Time Elements:
Relevant Period Start: 2021-01-06T08:00:00.000Z
Relevant Period End: 2021-01-06T08:30:00.000Z
Other Fields:
Length Of Stay: 0 d

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 349 - Other
Time Elements:
Relevant Period Start: 2020-08-23T08:30:00.000Z
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
LOINC: 21112-8 - Birth date
Time Elements:
Birth Date/Time: 1946-02-03T15:30:00.000+00:00
Other Fields:

QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Codes:
AdministrativeGender: F - Female
Time Elements:
Other Fields:

QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Codes:
CDCREC: 2106-3 - White
Time Elements:
Other Fields:

QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Codes:
CDCREC: 2186-5 - Not Hispanic or Latino
Time Elements:
Other Fields: