Patient Test Record: NUMERB10 104

Patient
NUMERB10 104
Sex
M
Date of birth
1975-08-22T08:00:00+00:00
Date of expiration
None
Race
1002-5
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
28
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Emergency Department Visit
Codes:
SNOMEDCT: 4525004
Time Elements:
Relevant Period Start: 2025-01-03T05:00:00.000+00:00
Relevant Period End: 2025-01-03T07:55:00.000+00:00
Other Fields:
Length Of Stay: 0 days
Encounter, Performed: Non-Elective Inpatient Encounter
Codes:
SNOMEDCT: 183452005
Time Elements:
Relevant Period Start: 2025-01-03T08:00:00.000+00:00
Relevant Period End: 2025-01-06T13:15:00.000+00:00
Other Fields:
Diagnosis: I63.29 (ICD10CM)
  rank: 1
Length Of Stay: 6 days

QDM::InterventionOrder

Description
Codes
Time
Fields/Results
Intervention, Order: Comfort Measures
Codes:
SNOMEDCT: 385763009
Time Elements:
Author Date/Time: 2025-01-02T09:00:00.000+00:00
Other Fields:

QDM::MedicationDischarge

Description
Codes
Time
Fields/Results
Medication, Discharge: Antithrombotic Therapy
Codes:
RXNORM: 1361615
Time Elements:
Author Date/Time: 2025-01-04T09:00:00.000+00:00
Other Fields:

QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Patient Characteristic Sex: ONCAdministrativeSex
Codes:
AdministrativeGender: M
Time Elements:
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1975-08-22T08:00:00.000+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: 2186-5
Time Elements:
Other Fields:

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 1975-08-22T08:00:00.000+00:00
Other Fields: