# Patient Test Record: TreatmentInitiationListsUnionOneIsNull NUMER2PassStrat1

Patient
TreatmentInitiationListsUnionOneIsNull NUMER2PassStrat1
Sex
248153007
Date of birth
2012-07-04T08:00:00+00:00
Date of expiration
None
Race
2131-1
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
12
Address
Telecom
(HP) 555-555-2003

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Detoxification Visit
Codes:
SNOMEDCT: 182969009
Time Elements:
Relevant Period Start: 2027-02-03T08:00:00.000+00:00
Relevant Period End: 2027-02-03T08:15:00.000+00:00
Other Fields:

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Substance Use Disorder
Codes:
SNOMEDCT: 10327003
Time Elements:
Prevalence Period Start: 2027-02-03T08:00:00.000+00:00
Other Fields:

### QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Intervention, Performed: Psych Visit Psychotherapy
Codes:
SNOMEDCT: 183381005
Time Elements:
Relevant Period Start: 2027-02-03T08:00:00.000+00:00
Relevant Period End: 2027-02-03T08:15:00.000+00:00
Other Fields:
Intervention, Performed: Psych Visit Psychotherapy
Codes:
SNOMEDCT: 183381005
Time Elements:
Relevant Period Start:
Relevant Date/Time: 2027-02-06T08:00:00.000+00:00
Other Fields:
Intervention, Performed: Psych Visit Psychotherapy
Codes:
SNOMEDCT: 183381005
Time Elements:
Relevant Period Start: 2027-02-07T08:00:00.000+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: 2012-07-04T08:00:00.000+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: 2012-07-04T08:00:00.000+00:00
Other Fields: