# Patient Test Record: SUDEpisodeJan1 DENOMPassStrat2

Patient
SUDEpisodeJan1 DENOMPassStrat2
Sex
F
Date of birth
2005-01-01T08:00:00+00:00
Date of expiration
None
Race
1002-5
Ethnicity
2135-2
Insurance Providers
1
Patient IDs
109
Address
Telecom
(HP) 555-555-2003

### QDM::Diagnosis

Description
Codes
Time
Fields/Results
Diagnosis: Alcohol and Drug Dependence
Codes:
SNOMEDCT: 10327003
Time Elements:
Prevalence Period Start: 2027-01-01T00:00:00.000+00:00
Other Fields:

### QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Telephone Visits
Codes:
SNOMEDCT: 185317003
Time Elements:
Relevant Period Start: 2027-01-01T00:00:00.000+00:00
Relevant Period End: 2027-01-01T00:15:00.000+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: 2005-01-01T08:00:00.000+00:00
Other Fields:

### QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC: 1002-5
Time Elements:
Other Fields:

### QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Patient Characteristic Ethnicity: Ethnicity
Codes:
CDCREC: 2135-2
Time Elements:
Other Fields:

### QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 2005-01-01T08:00:00.000+00:00
Other Fields: