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Smart Link Sample Summary Report Intelli Pap Auto Adjust

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Smart Link Sample Summary Report IntelliPap Auto Adjust

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Smart Link Sample Summary Report Intelli Pap Auto Adjust

  1. 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. 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

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