Patient Test Record: OutpatientSurgeryNoInpatientEncounter IPPFail
Patient
OutpatientSurgeryNoInpatientEncounter IPPFail
Sex
M
Date of birth
1980-07-01T08:00:00+00:00
Date of expiration
None
Race
2106-3
Ethnicity
2186-5
Insurance Providers
1
Patient IDs
16
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003
QDM::ProcedurePerformed
Description
Codes
Time
Fields/Results
Procedure, Performed: General or Neuraxial Anesthesia
Codes:
SNOMEDCT:
112943005
Time Elements:
Relevant Period Start:
2026-06-07T11:58:00.000+00:00
Relevant Period End:
2026-06-07T08:15:00.000+00:00
Other Fields:
QDM::EncounterPerformed
Description
Codes
Time
Fields/Results
Encounter, Performed: Outpatient Surgery Service
Codes:
SNOMEDCT:
110468005
Time Elements:
Relevant Period Start:
2026-06-07T23:59:00.000+00:00
Relevant Period End:
2026-06-08T01:00:00.000+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:
1980-07-01T08:00:00.000+00:00
Other Fields:
QDM::PatientCharacteristicRace
Description
Codes
Time
Fields/Results
Patient Characteristic Race: Race
Codes:
CDCREC:
2106-3
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:
1980-07-01T08:00:00.000+00:00
Other Fields: