Cypress Certification Patient Test Record: Dx Num2 Supp

Patient Dx Num2 Supp Sex Male
Date of birth September 7th, 1988 09:00 Date of expiration
Race White Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 581aa08cf081f3073800054c Cypress
Contact info
Document Id 581aa08cf081f3073800054c 2.16.840.1.113883.3.72
Document Created: December 15th, 2016 17:54
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
January 5th, 2012 10:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter CPT: 99395
July 5th, 2012 10:30 - July 5th, 2012 11:00 performed

Laboratory Tests

Description Codes Time Status Results Fields
Laboratory Test LOINC: 10351-5
July 5th, 2012 11:00 - July 5th, 2012 11:00 performed 165 {copies}/mL