Cypress Certification Patient Test Record: Jaime Jensen

Patient
Jaime Jensen
Sex
M - Male
Date of birth
1982-10-05T15:30:00+00:00
Date of expiration
None
Race
2076-8 - Native Hawaiian or Other Pacific Islander
Ethnicity
2135-2 - Hispanic or Latino
Insurance Providers
349 -
Patient IDs
6128f9bb6362390315a19c6d Cypress
Address
4403 Zulauf Mountains Mall
Port Luigi, NE 68849
US
Telecom
(HP) 696.937.2136

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter to Screen for Blood Pressure
Codes:
CPT: 99204 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate 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 to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
Time Elements:
Relevant Period Start: 2019-02-06T08:00:00.000Z
Relevant Period End: 2019-02-06T09:00:00.000Z
Other Fields:
Length Of Stay: 0 d
Encounter to Screen for Blood Pressure
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: 2019-05-01T08:00:00.000Z
Relevant Period End: 2019-05-01T08:15:00.000Z
Other Fields:
Length Of Stay: 0 d

QDM::InterventionOrder

Description
Codes
Time
Fields/Results
Weight Reduction Recommended
Codes:
HCPCS: S9449 - Weight management classes, non-physician provider, per session
SNOMEDCT: 266724001 - Weight-reducing diet education (procedure)
Time Elements:
Author Date/Time: 2019-05-01T08:00:00.000+00:00
Other Fields:
Follow Up Within One Year
Codes:
SNOMEDCT: 183617005 - Follow-up 1 day (finding)
Time Elements:
Author Date/Time: 2019-05-01T08:00:00.000+00:00
Other Fields:
Recommendation to Increase Physical Activity
Codes:
SNOMEDCT: 281090004 - Recommendation to exercise (procedure)
HCPCS: S9451 - Exercise classes, non-physician provider, per session
Time Elements:
Author Date/Time: 2019-05-01T08:00:00.000+00:00
Other Fields:

QDM::PhysicalExamPerformed

Description
Codes
Time
Fields/Results
Systolic blood pressure
Codes:
LOINC: 8480-6 - Systolic blood pressure
Time Elements:
Relevant Date/Time: 2019-05-01T08:00:00.000+00:00
Author Date/Time: 2019-05-01T08:00:00.000+00:00
Other Fields:
Result: 130.0 mm[Hg]
Diastolic blood pressure
Codes:
LOINC: 8462-4 - Diastolic blood pressure
Time Elements:
Relevant Date/Time: 2019-05-01T08:00:00.000+00:00
Author Date/Time: 2019-05-01T08:00:00.000+00:00
Other Fields:
Result: 85.0 mm[Hg]

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 349 -
Time Elements:
Relevant Period Start: 2018-06-26T08:00:00.000Z
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
LOINC: 21112-8 - Birth date
Time Elements:
Birth Date/Time: 1982-10-05T15:30:00.000+00:00
Other Fields:

QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Codes:
AdministrativeGender: M - Male
Time Elements:
Other Fields:

QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Codes:
CDCREC: 2076-8 - Native Hawaiian or Other Pacific Islander
Time Elements:
Other Fields:

QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Codes:
CDCREC: 2135-2 - Hispanic or Latino
Time Elements:
Other Fields: