Patient Test Record: ECMOStart1MinBeforeAndDayPriorToEnctStart DENEXFail

Patient
ECMOStart1MinBeforeAndDayPriorToEnctStart DENEXFail
Sex
F
Date of birth
1959-12-12T01:00:00+00:00
Date of expiration
None
Race
2054-5
Ethnicity
2135-2
Insurance Providers
1
Patient IDs
91
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003

QDM::EncounterPerformed

Description
Codes
Time
Fields/Results
Encounter, Performed: Encounter Inpatient
Codes:
SNOMEDCT: 183452005
Time Elements:
Relevant Period Start: 2026-04-08T00:00:00.000+00:00
Relevant Period End: 2026-04-17T08:15:00.000+00:00
Other Fields:
Facility: 1096-7 (HL7 Healthcare Service Location)

QDM::ProcedurePerformed

Description
Codes
Time
Fields/Results
Procedure, Performed: General or Neuraxial Anesthesia
Codes:
SNOMEDCT: 112943005
Time Elements:
Relevant Period Start:
Relevant Date/Time: 2026-04-08T10:00:00.000+00:00
Other Fields:
Procedure, Performed: Inferior Vena Cava (IVC) Filter Placement
Codes:
ICD10PCS: 06H00DZ
Time Elements:
Relevant Period Start:
Relevant Date/Time: 2026-04-10T08:00:00.000+00:00
Other Fields:
Procedure, Performed: Extracorporeal Membrane Oxygenation
Codes:
ICD10PCS: 5A1522F
Time Elements:
Relevant Period Start: 2026-04-07T11:59:00.000+00:00
Relevant Period End: 2026-04-08T00:00:00.000+00:00
Other Fields:

QDM::DiagnosticStudyPerformed

Description
Codes
Time
Fields/Results
Diagnostic Study, Performed: CT Angiography of Chest
Codes:
LOINC: 36147-7
Time Elements:
Relevant Period Start:
Relevant Date/Time: 2026-04-09T09:00:00.000+00:00
Other Fields:

QDM::PatientCharacteristicSex

Description
Codes
Time
Fields/Results
Patient Characteristic Sex: ONCAdministrativeSex
Codes:
AdministrativeGender: F
Time Elements:
Other Fields:

QDM::PatientCharacteristicBirthdate

Description
Codes
Time
Fields/Results
Codes:
Time Elements:
Birth Date/Time: 1959-12-12T01:00:00.000+00:00
Other Fields:

QDM::PatientCharacteristicRace

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

QDM::PatientCharacteristicEthnicity

Description
Codes
Time
Fields/Results
Patient Characteristic Ethnicity: Ethnicity
Codes:
CDCREC: 2135-2
Time Elements:
Other Fields:

QDM::PatientCharacteristicPayer

Description
Codes
Time
Fields/Results
Codes:
Source of Payment Typology: 1
Time Elements:
Relevant Period Start: 1959-12-12T01:00:00.000+00:00
Other Fields: