System Administrator

Provider Information Referring PhysicianAddress: Name: Dr. HavershamCity: Group: Sleep SpecialistsState/Province: Address: 1234 30th StreetCountry: City: SomersetPhone Number: State/Province: PAContact: Postal Code: 15501

Contact: Jenny Smith

Patient InformationFirst Name: AdamLast Name: FairchildAddress: 2234 Oak LaneCity: SomersetState/Province: PAPostal Code: 15501Country: USAPhone Number: 333-333-3333Birth Date: 8/18/63Height: 5'9"Weight: 190Gender: MalePayor Name: Healthcare InsurrerInsurance Id: 389w982Patient Record: 982097sli

Study Details - HD000100 (IntelliPAP AutoAdjust)Start Date: 8/1/08Study Length ( Days ): 60Pressure Unit : cmH2OLower Pressure Limit : 5Upper Pressure Limit : 15AutoAdjust Delay Time (minutes): 20

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

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Notes - 10/26/08 - Device HD000100 was assigned to patient

- 10/26/08 - First data received for study

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