# Patient Test Record: PsychVisit14DaysAfterEpisode NUMER1FailStrat2

Patient
PsychVisit14DaysAfterEpisode NUMER1FailStrat2
Sex
F
Date of birth
1990-08-08T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
100
Address
Telecom
(HP) 555-555-2003

### QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Intervention, Performed: Psych Visit Psychotherapy
Codes:
SNOMEDCT: 183381005
Time Elements:
Relevant Period Start: 2027-09-01T00:00:00.000+00:00
Relevant Period End: 2027-09-01T01:15:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Office Visit
Codes:
SNOMEDCT: 185463005
Time Elements:
Relevant Period Start: 2027-08-18T13:45:00.000+00:00
Relevant Period End: 2027-08-18T13:55:00.000+00:00
Other Fields:

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Substance Use Disorder
Codes:
SNOMEDCT: 10327003
Time Elements:
Prevalence Period Start: 2027-08-18T13:50:00.000+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: 1990-08-08T08:00:00.000+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: 1990-08-08T08:00:00.000+00:00
Other Fields: