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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