# Patient Test Record: 2OrdersBrompheniramineChlorpheniramine NUMER1and3Pass

Patient
2OrdersBrompheniramineChlorpheniramine NUMER1and3Pass
Sex
F
Date of birth
1960-12-31T01:00:00+00:00
Date of expiration
None
Race
1002-5
Ethnicity
2135-2
Insurance Providers
1
Patient IDs
7
Address
Telecom
(HP) 555-555-2003

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Office Visit
Codes:
SNOMEDCT: 185463005
Time Elements:
Relevant Period Start: 2027-08-06T08:00:00.000+00:00
Relevant Period End: 2027-08-06T08:15:00.000+00:00
Other Fields:

### QDM::MedicationOrder

Description
Codes
Time
Fields/Results
Medication, Order: Brompheniramine
Codes:
RXNORM: 1014331
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-08-06T08:00:00.000+00:00
Other Fields:
Medication, Order: Potentially Harmful Antihistamines for Older Adults
Codes:
RXNORM: 1013619
Time Elements:
Relevant Period Start:
Relevant Period End: 2027-01-25T08:15:00.000+00:00
Author Date/Time: 2027-08-07T08:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Patient Characteristic Sex: ONCAdministrativeSex
Codes:
AdministrativeGender: F
Time Elements:
Other Fields:

### QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1960-12-31T01:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC: 1002-5
Time Elements:
Other Fields:

### QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Patient Characteristic Ethnicity: Ethnicity
Codes:
CDCREC: 2135-2
Time Elements:
Other Fields:

### QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 1960-12-31T01:00:00.000+00:00
Other Fields: