Smart Link Sample Single Night Intelli Pap Auto Adjust
1. System Administrator
Provider Information Referring Physician
Address: Name: Dr. Haversham
City: Group: Sleep Specialists
State/Province: Address: 1234 30th Street
Country: City: Somerset
Phone Number: State/Province: PA
Contact: Postal Code: 15501
Contact: Jenny Smith
Patient Information
First Name: Adam
Last Name: Fairchild
Address: 2234 Oak Lane
City: Somerset
State/Province: PA
Postal Code: 15501
Country: USA
Phone Number: 333-333-3333
Birth Date: 8/18/63
Height: 5'9quot;
Weight: 190
Gender: Male
Payor Name: Healthcare Insurrer
Insurance Id: 389w982
Patient Record: 982097sli
Study Details - HD000100 (IntelliPAP AutoAdjust)
Start Date: 8/1/08
Study Length ( Days ): 60
Pressure Unit : cmH2O
Lower Pressure Limit : 5
Upper Pressure Limit : 15
AutoAdjust Delay Time (minutes): 20
Page 1 of 2 Created by SmartLink Report Generator Rev.1.5.0 10/26/08
2. 8/2/08 9:48 PM - 8/3/08 5:28 AM
Events Summary (Delay Mode) Events Summary (AutoAdjust Mode)
Time 1 Hours Mask Leak 0 % of total Time 6.7 Hours Mask Leak 0 % of total
Time Time
AHI 4 Per Hour Exhale Puffs 1 Per Hour AHI 2.1 Per Hour Exhale Puffs 7.9 Per Hour
AI 2 Per Hour Average 8 cmH2O AI 0.9 Per Hour Average 13.5 cmH2O
Pressure Pressure
HI 2 Per Hour Average Leak 38.1 L/min HI 1.2 Per Hour Average Leak 45.8 L/min
NI 0 Per Hour Avg. Est. Tidal 608.3 mL NI 0.1 Per Hour Avg. Est. Tidal 729 mL
Vol. Vol.
Snores 37 Events Avg. Breath 15 bpm Snores 154 Events Avg. Breath 13.5 bpm
Rate Rate
Page 2 of 2 Created by SmartLink Report Generator Rev.1.5.0 10/26/08