# Patient Test Record: HospiceOrderMP DENEXPassStrat3

Patient
HospiceOrderMP DENEXPassStrat3
Sex
F
Date of birth
1960-01-01T01:00:00+00:00
Date of expiration
None
Race
1002-5
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
42
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: 2027-02-18T13:50:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Office Visit
Codes:
CPT: 99202
Time Elements:
Relevant Period Start: 2027-02-18T13:45:00.000+00:00
Relevant Period End: 2027-02-18T13:55:00.000+00:00
Other Fields:
Length Of Stay: 0 days

### QDM::InterventionOrder

Description
Codes
Time
Fields/Results
Intervention, Order: Hospice Care Ambulatory
Codes:
SNOMEDCT: 385763009
Time Elements:
Author Date/Time: 2027-01-01T00:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicSex

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

### QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1960-01-01T01:00:00.000+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: 1960-01-01T01:00:00.000+00:00
Other Fields: