Patient Profile

Patient Information
Contact Details
Insurance
Doctor
Equipment Information
Patient Name: Mr Mike Cherni
Patient ID:
Date of Birth: Age:
Gender:
Address:
Telephone Numbers:
E-Mail:
Insurance Carrier: Membership Number: Member Since: 1/16/2012
Treating Doctor: Clinic:
Referring Doctor: Clinic:
Flow Generator: Flow Generator Serial Number: Owner: Yes
Flow Generator Software Version:
Humidifier: Humidifier Serial Number: Owner: Yes
Data Module: Data Module Serial Number: Owner: Yes
Data Module Software Version:
Mask:
Data Card: No
Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 1 of 17
Statistics
Serial No.: 23111054250
Product: S9 AutoSet
4/1/2012 - 4/6/2012
Device Settings
Therapy Mode: AutoSet EPR: Full_Time EPR Level: 3.0 cmH2O
Minimum Pressure: 10.6 cmH2O Maximum Pressure: 16.6 cmH2O
Pressure - cmH2O
Median: 11.3 95th Percentile: 13.4 Maximum: 14.8
Leak - L/min
Median: 6.0 95th Percentile: 28.8 Maximum: 44.4
AHI & AI - Events/hr
Apnea index: 2.5 AHI: 2.8 Obstructive: 1.5
Central: 1.0 Unknown: 0.1 Hypopnea index: 0.3
Usage
Used Days >= 4 hrs : 5 Used Days < 4 hrs : 1 % Used Days >= 4 hrs : 83
Days not used: 0 Total days: 6 Median daily usage: 7:37
Total hours used: 41:26 Average daily usage: 6:54
Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 2 of 17
Summary Graphs




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 3 of 17

Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 4 of 17
Detailed Graphs
4/6/2012
Serial No.: 23111054250
Product: S9 AutoSet



Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 5 of 17




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 6 of 17

4/5/2012
Serial No.: 23111054250
Product: S9 AutoSet


Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 7 of 17




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 8 of 17


4/4/2012
Serial No.: 23111054250
Product: S9 AutoSet

Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 9 of 17




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 10 of 17



4/3/2012
Serial No.: 23111054250
Product: S9 AutoSet
Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 11 of 17




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 12 of 17




4/2/2012
Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 13 of 17
Serial No.: 23111054250
Product: S9 AutoSet




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 14 of 17




4/1/2012
Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 15 of 17
Serial No.: 23111054250
Product: S9 AutoSet




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 16 of 17




Name: Mr Mike Cherni
Patient ID:
Date of Birth:
Report prepared by: Death From Above on 4/6/2012 at 6:22 PM
Designed by Page 17 of 17