Cypress Certification Patient Test Record: Lisa Barton

Patient
Lisa Barton
Sex
F - Female
Date of birth
2004-02-12 01:12:00 UTC
Date of expiration
None
Race
2106-3 - White
Ethnicity
2186-5 - Not Hispanic or Latino
Insurance Providers
2 - Medicaid
Patient IDs
600b343e6362390375a97b2f Cypress
Address
22303 Grady Way Corner
Kileymouth, NE 68814
US
Telecom
(HP) 445.926.5056

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Office Visit
Codes:
CPT: 99212 - Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or 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 self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
Time Elements:
Relevant Period Start: 2020-11-03T08:00:00.000Z
Relevant Period End: 2020-11-03T08:30:00.000Z
Other Fields:
Length Of Stay: 0 d
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: 2021-01-10T08:00:00.000Z
Relevant Period End: 2021-01-10T08:45:00.000Z
Other Fields:
Length Of Stay: 0 d
Preventive Care Services, Initial Office Visit, 0 to 17
Codes:
CPT: 99384 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)
Time Elements:
Relevant Period Start: 2021-04-02T08:00:00.000Z
Relevant Period End: 2021-04-02T08:30:00.000Z
Other Fields:
Length Of Stay: 0 d
Preventive Care, Established Office Visit, 0 to 17
Codes:
CPT: 99394 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)
Time Elements:
Relevant Period Start: 2021-06-02T08:00:00.000Z
Relevant Period End: 2021-06-02T08:30:00.000Z
Other Fields:
Length Of Stay: 0 d
Office Visit
Codes:
CPT: 99203 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or 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 moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
Time Elements:
Relevant Period Start: 2021-10-16T08:00:00.000Z
Relevant Period End: 2021-10-16T08:15:00.000Z
Other Fields:
Length Of Stay: 0 d

QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Counseling for Physical Activity
Codes:
SNOMEDCT: 103736005 - History and physical examination, sports participation (procedure)
Time Elements:
Relevant Period Start: 2021-06-02T08:15:00.000Z
Relevant Period End: 2021-06-02T08:45:00.000Z
Other Fields:
Counseling for Nutrition
Codes:
CPT: 97802 - Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
SNOMEDCT: 11816003 - Diet education (procedure)
Time Elements:
Relevant Date/Time: 2021-06-02T08:15:00.000+00:00
Other Fields:

QDM::PhysicalExamPerformed

Description
Codes
Time
Fields/Results
BMI percentile
Codes:
LOINC: 59574-4 - Body mass index (BMI) [Percentile]
Time Elements:
Relevant Date/Time: 2021-06-02T08:15:00.000+00:00
Other Fields:
Result: 26.6 %
Height
Codes:
LOINC: 3137-7 - Body height Measured
Time Elements:
Relevant Date/Time: 2021-06-02T08:15:00.000+00:00
Other Fields:
Result: 66.0
Weight
Codes:
LOINC: 18833-4 - First Body weight
Time Elements:
Relevant Date/Time: 2021-06-02T08:15:00.000+00:00
Other Fields:
Result: 165.0

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 2 - Medicaid
Time Elements:
Relevant Period Start: 2020-07-17T08:00:00.000Z
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
LOINC: 21112-8 - Birth date
Time Elements:
Birth Date/Time: 2004-02-12T01:12:00.000+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: