# Patient Test Record: SUDEpisodeB4MP IPPFailStrat2

Patient
SUDEpisodeB4MP IPPFailStrat2
Sex
248153007
Date of birth
1974-03-12T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
26
Address
Telecom
(HP) 555-555-2003

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Detoxification Visit
Codes:
SNOMEDCT: 23915005
Time Elements:
Relevant Period Start: 2026-12-31T23:00:00.000+00:00
Relevant Period End: 2026-12-31T23:59:00.000+00:00
Other Fields:
Length Of Stay: 0 days

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Alcohol and Drug Dependence
Codes:
SNOMEDCT: 10028000
Time Elements:
Prevalence Period Start: 2026-12-31T23:59:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Patient Characteristic Sex: FederalAdministrativeSex
Codes:
SNOMEDCT: 248153007
Time Elements:
Other Fields:

### QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1974-03-12T08:00:00.000+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: 1974-03-12T08:00:00.000+00:00
Other Fields: