# Patient Test Record: 3InitiationOfWhich2MetEngagement NUMER2PassStrat1

Patient
3InitiationOfWhich2MetEngagement NUMER2PassStrat1
Sex
M
Date of birth
2012-07-04T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
21
Address
Telecom
(HP) 555-555-2003

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Discharge Services - Hospital Inpatient
Codes:
CPT: 99239
Time Elements:
Relevant Period Start: 2027-06-01T12:00:00.000+00:00
Relevant Period End: 2027-06-01T12:15:00.000+00:00
Other Fields:
Length Of Stay: 0 days

### QDM::MedicationOrder

Description
Codes
Time
Fields/Results
Medication, Order: Substance Use Disorder Short Acting Medication
Codes:
RXNORM: 1010600
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-06-03T08:00:00.000+00:00
Other Fields:
Medication, Order: Substance Use Disorder Short Acting Medication
Codes:
RXNORM: 1010600
Time Elements:
Relevant Period Start:
Author Date/Time: 2027-07-08T00:00:00.000+00:00
Other Fields:

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Substance Use Disorder
Codes:
SNOMEDCT: 10327003
Time Elements:
Prevalence Period Start: 2027-06-01T12:05:00.000+00:00
Prevalence Period End: 2027-06-01T12:20:00.000+00:00
Other Fields:

### QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Intervention, Performed: Substance Use Disorder Treatment
Codes:
SNOMEDCT: 171047005
Time Elements:
Relevant Period Start: 2027-06-07T12:05:00.000+00:00
Relevant Period End: 2027-06-07T12:20:00.000+00:00
Other Fields:
Intervention, Performed: Psych Visit Psychotherapy
Codes:
SNOMEDCT: 183381005
Time Elements:
Relevant Period Start: 2027-06-12T12:05:00.000+00:00
Relevant Period End: 2027-06-12T14:20:00.000+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: 2012-07-04T08:00:00.000+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: 2012-07-04T08:00:00.000+00:00
Other Fields: