# Patient Test Record: DigoxinX2OrderAvgDailyDoseOneMissingFreq NUMER1and3Fail

Patient
DigoxinX2OrderAvgDailyDoseOneMissingFreq NUMER1and3Fail
Sex
M
Date of birth
1958-07-14T01:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
177
Address
Telecom
(HP) 555-555-2003

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Home Healthcare Services
Codes:
SNOMEDCT: 185460008
CPT: 99341
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: Digoxin
Codes:
RXNORM: 197606
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-01-03T08:00:00.000+00:00
Other Fields:
Dosage: 1
Frequency: 229797004 (SNOMEDCT)
Supply: 60
Medication, Order: Digoxin
Codes:
RXNORM: 197606
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-10-14T08:00:00.000+00:00
Other Fields:
Dosage: 1
Supply: 60

### 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: 1958-07-14T01:00:00.000+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: 1958-07-14T01:00:00.000+00:00
Other Fields: