Patient Test Record: HealthcareSurrogatePerformedBeforeEncounter NUMERPass
Patient
HealthcareSurrogatePerformedBeforeEncounter 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
30
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003
QDM::EncounterOrder
Description
Codes
Time
Fields/Results
Encounter, Order: Healthcare Agent & Power of Attorney Documentation
Codes:
SNOMEDCT:
186067006
Time Elements:
Author Date/Time:
2026-01-01T00:01:00.000+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:
2026-01-10T00:01:00.000+00:00
Relevant Period End:
2026-01-15T23:59:00.000+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: