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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

Usage Statistics ( 8/1/08 - 8/30/08 )
Possible Usage Days in Range:                   30
Usage Index:                                    100%
Days with any Usage:                            30
Average Usage Duration (Hours):                 6.9
Days used at least 4 hours:                     30
Standard Deviation (Hours):                     0.7




Page 1 of 2                                 Created by SmartLink Report Generator Rev.1.5.0 10/26/08
Notes
- 10/26/08 - Device HD000100 was assigned to patient
- 10/26/08 - First data received for study




Page 2 of 2                                            Created by SmartLink Report Generator Rev.1.5.0 10/26/08

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Smart Link Sample Summary Report 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 Usage Statistics ( 8/1/08 - 8/30/08 ) Possible Usage Days in Range: 30 Usage Index: 100% Days with any Usage: 30 Average Usage Duration (Hours): 6.9 Days used at least 4 hours: 30 Standard Deviation (Hours): 0.7 Page 1 of 2 Created by SmartLink Report Generator Rev.1.5.0 10/26/08
  • 2. Notes - 10/26/08 - Device HD000100 was assigned to patient - 10/26/08 - First data received for study Page 2 of 2 Created by SmartLink Report Generator Rev.1.5.0 10/26/08