# Patient Test Record: HospiceDiagnosisBeforeMP DENEXFailStrat2

Patient
HospiceDiagnosisBeforeMP DENEXFailStrat2
Sex
M
Date of birth
1995-08-08T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
131
Address
Telecom
(HP) 555-555-2003

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Alcohol And Drug Dependence
Codes:
SNOMEDCT: 125851000119106
Time Elements:
Prevalence Period Start: 2027-05-05T08:05:00.000+00:00
Other Fields:
Diagnosis: Hospice Diagnosis
Codes:
SNOMEDCT: 170935008
Time Elements:
Prevalence Period Start: 2026-12-31T08:00:00.000+00:00
Prevalence Period End: 2026-12-31T23:59:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Initial Hospital Inpatient Visit
Codes:
CPT: 99221
Time Elements:
Relevant Period Start: 2027-05-05T08:00:00.000+00:00
Relevant Period End: 2027-05-05T08:10:00.000+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: 1995-08-08T08:00:00.000+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: 1995-08-08T08:00:00.000+00:00
Other Fields: