Patient Test Record: ACPAndDNRDuringEncounter NUMERPass
Patient
ACPAndDNRDuringEncounter NUMERPass
Sex
248153007
Date of birth
1994-02-05T15:00:00+00:00
Date of expiration
None
Race
2106-3
Ethnicity
2135-2
Insurance Providers
1
Patient IDs
14
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003
QDM::AssessmentPerformed
Description
Codes
Time
Fields/Results
Assessment, Performed: Advance Care Planning Documentation
Codes:
CPT:
1123F
Time Elements:
Author Date/Time:
2026-01-05T16:00:00.000+00:00
Other Fields:
QDM::InterventionPerformed
Description
Codes
Time
Fields/Results
Intervention, Performed: Do not resuscitate
Codes:
ICD10CM:
Z66
Time Elements:
Relevant Period Start:
2026-01-01T15:00:00.000+00:00
Relevant Period End:
2026-01-03T01:00:00.000+00:00
Other Fields:
QDM::PatientCharacteristicEthnicity
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2135-2
Time Elements:
Other Fields:
QDM::PatientCharacteristicSex
Description
Codes
Time
Fields/Results
Codes:
SNOMEDCT:
248153007
Time Elements:
Other Fields:
QDM::PatientCharacteristicRace
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2106-3
Time Elements:
Other Fields:
QDM::PatientCharacteristicBirthdate
Description
Codes
Time
Fields/Results
Codes:
LOINC:
21112-8
Time Elements:
Birth Date/Time:
1994-02-05T15:00:00.000+00:00
Other Fields:
QDM::EncounterPerformed
Description
Codes
Time
Fields/Results
Encounter, Performed: Encounter Inpatient
Codes:
SNOMEDCT:
32485007
Time Elements:
Relevant Period Start:
2026-01-01T00:01:00.000+00:00
Relevant Period End:
2026-01-10T23:59:00.000+00:00
Other Fields:
QDM::PatientCharacteristicPayer
Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology:
1
Time Elements:
Relevant Period Start:
1994-02-05T15:00:00.000+00:00
Other Fields: