Patient Test Record: TwoEncountersDiscussionLastEnc NUMERPass

Patient
TwoEncountersDiscussionLastEnc NUMERPass
Sex
248153007
Date of birth
2007-12-31T19:59:00+00:00
Date of expiration
None
Race
2054-5
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
1
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:
Unknown: G9380
CPT: 1124F
Time Elements:
Author Date/Time: 2026-07-02T23:59:00.000+00:00
Other Fields:
Intervention, Performed: Goals, preferences, and priorities for medical treatment
Codes:
LOINC: 75773-2
Time Elements:
Relevant Date/Time: 2026-09-01T09:00:00.000+00:00
Other Fields:

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Encounter Inpatient
Codes:
SNOMEDCT: 183452005
Time Elements:
Relevant Period Start: 2026-07-01T00:00:00.000+00:00
Relevant Period End: 2026-07-03T23:59:00.000+00:00
Other Fields:
Encounter, Performed: Emergency Department Visit
Codes:
SNOMEDCT: 4525004
Time Elements:
Relevant Period Start: 2026-08-30T00:01:00.000+00:00
Relevant Period End: 2026-09-02T23:59:00.000+00:00
Other Fields:

QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Patient Characteristic Ethnicity: Ethnicity
Codes:
CDCREC: 2186-5
Time Elements:
Other Fields:

QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Patient Characteristic Sex: FederalAdministrativeSex
Codes:
SNOMEDCT: 248153007
Time Elements:
Other Fields:

QDM::PatientCharacteristicRace

Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC: 2054-5
Time Elements:
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
LOINC: 21112-8
Time Elements:
Birth Date/Time: 2007-12-31T19:59:00.000+00:00
Other Fields:

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 2007-12-31T19:59:00.000+00:00
Other Fields: