# Patient Test Record: FacilityHospice DENEXPassStrat2

Patient
FacilityHospice DENEXPassStrat2
Sex
F
Date of birth
1995-08-08T08:00:00+00:00
Date of expiration
None
Race
2106-3
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
58
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: 2027-10-09T15:05:00.000+00:00
Prevalence Period End: 2027-10-29T15:00:00.000+00:00
Other Fields:
Diagnosis: Alcohol And Drug Dependence
Codes:
SNOMEDCT: 125851000119106
Time Elements:
Prevalence Period Start: 2027-11-21T21:00:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Detoxification Visit
Codes:
SNOMEDCT: 23915005
Time Elements:
Relevant Period Start: 2027-10-09T15:00:00.000+00:00
Relevant Period End: 2027-10-09T15:10:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Alcohol and Drug Dependence Treatment
Codes:
SNOMEDCT: 408935001
Time Elements:
Relevant Period Start: 2027-10-23T07:00:00.000+00:00
Relevant Period End: 2027-10-23T07:10:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Alcohol and Drug Dependence Treatment
Codes:
SNOMEDCT: 424589009
Time Elements:
Relevant Period Start: 2027-10-30T07:45:00.000+00:00
Relevant Period End: 2027-10-30T08:00:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Alcohol and Drug Dependence Treatment
Codes:
SNOMEDCT: 424589009
Time Elements:
Relevant Period Start: 2027-11-21T16:50:00.000+00:00
Relevant Period End: 2027-11-21T17:00:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Encounter Inpatient
Codes:
SNOMEDCT: 183452005
Time Elements:
Relevant Period Start: 2026-12-31T08:00:00.000+00:00
Relevant Period End: 2027-12-31T23:59:00.000+00:00
Other Fields:
Discharge Disposition: 428371000124100 (SNOMEDCT)
Length Of Stay: 0 days

### 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: 1995-08-08T08:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC: 2106-3
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: