# Patient Test Record: PsychVisit1DayAfter2ndEpisode NUMER1FailStrat3

Patient
PsychVisit1DayAfter2ndEpisode NUMER1FailStrat3
Sex
M
Date of birth
1951-07-04T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
28
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: 2027-05-07T12:05:00.000+00:00
Prevalence Period End: 2027-05-27T12:00:00.000+00:00
Other Fields:
Diagnosis: Substance Use Disorder
Codes:
SNOMEDCT: 10028000
Time Elements:
Prevalence Period Start: 2027-06-03T11:25:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Discharge Services - Hospital Inpatient
Codes:
CPT: 99239
Time Elements:
Relevant Period Start: 2027-05-07T12:00:00.000+00:00
Relevant Period End: 2027-05-07T12:15:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Discharge Services Hospital Inpatient
Codes:
CPT: 99238
Time Elements:
Relevant Period Start: 2027-06-03T11:25:00.000+00:00
Relevant Period End: 2027-06-03T12:01:00.000+00:00
Other Fields:

### QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Intervention, Performed: Psych Visit - Psychotherapy
Codes:
CPT: 90832
Time Elements:
Relevant Period Start: 2027-06-04T12:45:00.000+00:00
Relevant Period End: 2027-06-04T13:55:00.000+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: 1951-07-04T08:00:00.000+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: 1951-07-04T08:00:00.000+00:00
Other Fields: