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DocuSign Envelope ID:881484B7-44A8-4DD9-9947-6209CB23CD79 <br /> 44 PatagoniaHealth <br /> http://www.patagoniahealth.com <br /> 1 Patient demographics in Excel spreadsheets Included in product <br /> maintenance <br /> CCDA export as required under Meaningful Use stage <br /> 2 guidelines. <br /> 2 <br /> Users can generate CCDA for complete patient Included in product <br /> medical history. maintenance <br /> Complete set of documents uploaded into Patagonia <br /> Health EHR. <br /> These are scanned and uploaded documents for <br /> 3 every patient. <br /> Documents will be uploaded to a SFTP site. <br /> Documents will be named to include patient name, <br /> MRN and document type. $5,500 <br /> $10,500 <br /> One-time database dump. MS SQL 2012 database <br /> backup uploaded to a SFTP site. $150/hour for additional <br /> consulting (minimum 8 <br /> 4 See "Data Fields included" for included data hours) <br /> Assistance with data queries, data analysis, data <br /> comparison, migration review will consume <br /> consulting hours <br /> Monthly database dump - minimum 12 month $5,000 Setup fee <br /> contract $500 monthly fee <br /> $150/hour for additional <br /> See "Data Fields included" for included data consulting <br /> 5 <br /> Database backup files will be provided once month <br /> Includes data dictionary to explain tables <br /> Includes 8 hours of consulting support to help <br /> extract or map data <br /> Data Fields Included: <br /> Data extract will include database tables from following EHR elements <br /> 1. Patient demographics <br /> 2. Patient insurance <br /> 3. Patient Sliding fee scale <br /> 4. Appointments <br /> 5. Patient social, medical, family history (ICD-9, ICD-10 CM, CPT codes as applicable) <br /> Page 2 of <br /> )nfidential. CopyrightO 2018 Patagonia Health, Inc <br />