Smart Link Sample Summary Report IntelliPap Standard

1. HME Homecare Products
Provider Information Referring Physician
Address: 1086 Main Street Name: Allen Jones, MD
City: Somerset Group: Sleep Center of
Somerset
State/Province: PA Address: 19876 Mountain Drive
Country: USA City: Somerset
Phone Number: 434-333-4343 State/Province: PA
Contact: Julie Robertson Postal Code: 15501
Contact: Megan Fairfield
Patient Information
First Name: Steven
Last Name: Jones
Address: 1234 Oak Street
City: Somerset
State/Province: PA
Postal Code: 15501
Country:
Phone Number: 333-333-3333
Birth Date:
Height:
Weight:
Gender: Male
Payor Name: PayPlan One
Insurance Id: 1201920
Patient Record: sj-5229892938
Study Details - ID000101 (IntelliPAP Standard)
Start Date: 2/1/08
Study Length ( Days ): 60
Pressure Unit : cmH2O
CPAP Pressure : 10
Delay Pressure : 4
Delay Time (minutes): 20
Usage Statistics ( 6/1/08 - 8/12/08 )
Possible Usage Days in Range: 73
Usage Index: 92%
Days with any Usage: 73
Average Usage Duration (Hours): 4.9
Days used at least 4 hours: 67
Standard Deviation (Hours): 0.6
Page 1 of 2 Created by SmartLink Report Generator Rev.1.5.0 11/5/08

2. Notes
- 11/5/08 - Device ID000101 was assigned to patient
- 11/5/08 - First data received for study
Page 2 of 2 Created by SmartLink Report Generator Rev.1.5.0 11/5/08