Cypress Certification Patient Test Record: Visit Den3Edge Supp

Patient Visit Den3Edge Supp Sex Male
Date of birth November 3rd, 1969 07:30 Date of expiration
Race Black or African American Ethnicity Not Hispanic or Latino
Insurance Providers Other Patient IDs 581b98f4f081f31e4b002388 Cypress
Contact info
Document Id 581b98f4f081f31e4b002388 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 SNOMED-CT: 40780007
ICD-10-CM: Z21
ICD-9-CM: V08
August 2nd, 2011 08:00 - present

Encounters

Description Codes Time Status Results Fields
Encounter SNOMED-CT: 406547006
December 31st, 2012 10:30 - December 31st, 2012 10:45 performed