Cypress Certification Patient Test Record: Clin Den4 VisitFreq

Patient Clin Den4 VisitFreq Sex Male
Date of birth January 1st, 1970 08:00 Date of expiration
Race American Indian or Alaska Native Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 58542d67f081f35ea10008ca Cypress
Contact info
Document Id 58542d67f081f35ea10008ca 2.16.840.1.113883.3.72
Document Created: December 16th, 2016 18:09
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

Diagnoses

Description Codes Time Status Results Fields
Diagnosis ICD-9-CM: 042
SNOMED-CT: 111880001
ICD-10-CM: B20
December 16th, 2010 08:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99212
May 16th, 2011 08:00 - May 16th, 2011 08:15 performed
Encounter CPT: 99396
December 16th, 2012 08:00 - December 16th, 2012 08:15 performed