# Patient Test Record: PhenobarbitalX2InMP NUMERAllPass

Patient
PhenobarbitalX2InMP NUMERAllPass
Sex
M
Date of birth
1960-09-15T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
59
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: 2027-06-23T14:45:00.000+00:00
Relevant Period End: 2027-06-23T14:45:00.000+00:00
Other Fields:
Length Of Stay: 0 days

### QDM::MedicationOrder

Description
Codes
Time
Fields/Results
Medication, Order: Antipsychotic
Codes:
RXNORM: 1006801
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-03-16T08:00:00.000+00:00
Other Fields:
Medication, Order: Antipsychotic
Codes:
RXNORM: 1006801
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-04-17T08:00:00.000+00:00
Other Fields:
Medication, Order: Potentially Harmful Barbiturates for Older Adults
Codes:
RXNORM: 198083
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-03-16T08:00:00.000+00:00
Other Fields:
Medication, Order: Potentially Harmful Barbiturates for Older Adults
Codes:
RXNORM: 198083
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-04-17T08:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicSex

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

### QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1960-09-15T08:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC: 2131-1
Time Elements:
Other Fields:

### QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Patient Characteristic Ethnicity: Ethnicity
Codes:
CDCREC: 2186-5
Time Elements:
Other Fields:

### QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 1960-09-15T08:00:00.000+00:00
Other Fields: