# Patient Test Record: TelephoneVisitInMP DENOMPass

Patient
TelephoneVisitInMP DENOMPass
Sex
M
Date of birth
1944-02-22T08:00:00+00:00
Date of expiration
None
Race
1002-5
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
76
Address
Telecom
(HP) 555-555-2003

### QDM::MedicationOrder

Description
Codes
Time
Fields/Results
Medication, Order: List of Single RxNorm Code Concepts for High Risk Drugs for the Elderly
Codes:
RXNORM: 1012904
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-03-30T16:00:00.000+00:00
Other Fields:
Medication, Order: List of Single RxNorm Code Concepts for High Risk Drugs for the Elderly
Codes:
RXNORM: 1012904
Time Elements:
Relevant Period Start:
Author Date/Time: 2028-01-01T16:00:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Telephone Visits
Codes:
CPT: 98966
Time Elements:
Relevant Period Start: 2027-09-15T09:45:00.000+00:00
Relevant Period End: 2027-09-15T09:45:00.000+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
Patient Characteristic Birthdate: Birth date
Codes:
LOINC: 21112-8
Time Elements:
Birth Date/Time: 1944-02-22T08:00:00.000+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: 2186-5
Time Elements:
Other Fields:

### QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 1944-02-22T08:00:00.000+00:00
Other Fields: