Patient Test Record: DENOM Excl 1-1 antibiotic duration
Patient
DENOM Excl 1-1 antibiotic duration
Sex
248152002
Date of birth
1999-04-13T20:07:20+00:00
Date of expiration
None
Race
2106-3
Ethnicity
2186-5
Insurance Providers
111
Patient IDs
26
Address
202 Burlington Rd.
Bedford, MA 01730
US
Telecom
(HP) 555-555-2003
QDM::PhysicalExamPerformed
Description
Codes
Time
Fields/Results
Physical Exam, Performed: Body Temperature
Codes:
LOINC:
8310-5
Time Elements:
Relevant Period Start:
2026-09-20T00:00:00.000+00:00
Relevant Period End:
2026-09-20T00:00:00.000+00:00
Relevant Date/Time:
2026-09-20T00:00:00.000+00:00
Author Date/Time:
2026-09-20T00:00:00.000+00:00
Other Fields:
Result:
37.5 Cel
Physical Exam, Performed: Systolic Blood Pressure
Codes:
LOINC:
8480-6
Time Elements:
Relevant Period Start:
2026-09-20T00:00:00.000+00:00
Relevant Period End:
2026-09-20T00:00:00.000+00:00
Relevant Date/Time:
2026-09-20T00:00:00.000+00:00
Author Date/Time:
2026-09-20T00:00:00.000+00:00
Other Fields:
Result:
92 mm[Hg]
QDM::PatientCharacteristicPayer
Description
Codes
Time
Fields/Results
Patient Characteristic Payer: Payer Type
Codes:
Source of Payment Typology:
111
Time Elements:
Relevant Period Start:
2026-09-16T00:00:00.000+00:00
Relevant Period End:
2026-09-21T00:00:00.000+00:00
Other Fields:
QDM::MedicationDischarge
Description
Codes
Time
Fields/Results
Medication, Discharge: Antibiotic Usage for CAP Diagnosis
Codes:
RXNORM:
19552
Time Elements:
Author Date/Time:
2026-09-21T00:00:00.000+00:00
Other Fields:
Days Supplied:
2
QDM::MedicationAdministered
Description
Codes
Time
Fields/Results
Medication, Administered: Antibiotic Usage for CAP Diagnosis
Codes:
RXNORM:
19711
Time Elements:
Relevant Period Start:
2026-09-16T00:00:00.000+00:00
Relevant Period End:
2026-09-21T00:00:00.000+00:00
Relevant Date/Time:
2026-09-16T00:00:00.000+00:00
Author Date/Time:
2026-09-16T00:00:00.000+00:00
Other Fields:
QDM::EncounterPerformed
Description
Codes
Time
Fields/Results
Encounter, Performed: Encounter Inpatient
Codes:
SNOMEDCT:
32485007
Time Elements:
Relevant Period Start:
2026-09-16T00:00:00.000+00:00
Relevant Period End:
2026-09-21T00:00:00.000+00:00
Author Date/Time:
2026-09-16T00:00:00.000+00:00
Other Fields:
Diagnosis:
J12.0 (ICD10CM)
Diagnosis:
C91 (ICD10CM)
QDM::DiagnosticStudyPerformed
Description
Codes
Time
Fields/Results
Diagnostic Study, Performed: Chest Imaging for Pneumonia Grouping Definition
Codes:
CPT:
71045
Time Elements:
Relevant Period Start:
2026-09-17T00:00:00.000+00:00
Relevant Period End:
2026-09-18T00:00:00.000+00:00
Relevant Date/Time:
2026-09-17T00:00:00.000+00:00
Author Date/Time:
2026-09-17T00:00:00.000+00:00
Result Date/Time:
2026-09-18T00:00:00.000+00:00
Other Fields:
Result:
168734001 (Unknown)
QDM::PatientCharacteristicEthnicity
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2186-5
Time Elements:
Other Fields:
QDM::PatientCharacteristicSex
Description
Codes
Time
Fields/Results
Patient Characteristic Sex: FederalAdministrativeSex
Codes:
SNOMEDCT:
248152002
Time Elements:
Other Fields:
QDM::PatientCharacteristicRace
Description
Codes
Time
Fields/Results
Codes:
CDCREC:
2106-3
Time Elements:
Other Fields:
QDM::PatientCharacteristicBirthdate
Description
Codes
Time
Fields/Results
Codes:
LOINC:
21112-8
Time Elements:
Birth Date/Time:
1999-04-13T20:07:20.000+00:00
Other Fields: