Patient Test Record: ACPDocumentationDuringEncounter NUMERPass

Patient
ACPDocumentationDuringEncounter NUMERPass
Sex
248153007
Date of birth
1960-05-15T13:45:00+00:00
Date of expiration
None
Race
2028-9
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
28
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003

QDM::InterventionPerformed

Description
Codes
Time
Fields/Results
Intervention, Performed: Advance Care Planning Documentation
Codes:
SNOMEDCT: 713603004
Time Elements:
Author Date/Time: 2026-01-08T17:00:00.000+00:00
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
LOINC: 21112-8
Time Elements:
Birth Date/Time: 1960-05-15T13:45:00.000+00:00
Other Fields:

QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Codes:
CDCREC: 2186-5
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: 2028-9
Time Elements:
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: 1960-05-15T13:45:00.000+00:00
Other Fields: