IBDEI010 ; ; 18-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQR(358.5) F I=1:2 S X=$T(Q+I) Q:X="" S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
Q Q
;;^UTILITY(U,$J,358.5,79,0)
;;=EMPLOYMENT STATUS^14^19
;;^UTILITY(U,$J,358.5,79,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,79,2,1,0)
;;=Status:^^^20^12^12^28^20^1
;;^UTILITY(U,$J,358.5,80,0)
;;=SPOUSE'S EMPLOYER^14^20
;;^UTILITY(U,$J,358.5,80,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,80,2,1,0)
;;=Spouse's Employer:^^U^1^14^15^4^45^1
;;^UTILITY(U,$J,358.5,81,0)
;;=VITALS^15^3
;;^UTILITY(U,$J,358.5,81,2,0)
;;=^357.52I^6^5
;;^UTILITY(U,$J,358.5,81,2,1,0)
;;=WT:^^^15^1^1^19^14^1
;;^UTILITY(U,$J,358.5,81,2,2,0)
;;=BP:^^^37^1^1^41^14^1
;;^UTILITY(U,$J,358.5,81,2,3,0)
;;=T:^^^59^1^1^62^14^1
;;^UTILITY(U,$J,358.5,81,2,4,0)
;;=P:^^^15^3^3^19^14^1
;;^UTILITY(U,$J,358.5,81,2,6,0)
;;=INITIALS/TIME:^^^38^3^3^54^20^1
;;^UTILITY(U,$J,358.5,82,0)
;;=PROGRESS NOTES^16^2^^^Progress Notes: ( ) Attached ( ) See Chart^^^^0^0^24^2^87
;;^UTILITY(U,$J,358.5,83,0)
;;=SIGNATURE^16^3
;;^UTILITY(U,$J,358.5,83,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,83,2,1,0)
;;=Provider Signature^^^64^27^26^54^45^1
;;^UTILITY(U,$J,358.5,84,0)
;;=PATIENT NAME^19^6
;;^UTILITY(U,$J,358.5,84,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,84,2,1,0)
;;=Patient Name:^^^1^1^1^15^30^1
;;^UTILITY(U,$J,358.5,85,0)
;;=PATIENT DOB^19^22
;;^UTILITY(U,$J,358.5,85,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,85,2,1,0)
;;=DOB:^^^1^2^2^6^12^1
;;^UTILITY(U,$J,358.5,86,0)
;;=PID^19^7
;;^UTILITY(U,$J,358.5,86,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,86,2,1,0)
;;=PID:^^^19^2^2^24^15^1
;;^UTILITY(U,$J,358.5,87,0)
;;=SC CONDITION 1^19^11^^1
;;^UTILITY(U,$J,358.5,87,2,0)
;;=^357.52I^2^2
;;^UTILITY(U,$J,358.5,87,2,1,0)
;;=SC Conditions:^^U^1^4^5^1^40^1
;;^UTILITY(U,$J,358.5,87,2,2,0)
;;=%^^I^^^5^42^4^3
;;^UTILITY(U,$J,358.5,88,0)
;;=SC CONDITION 2^19^11^^2
;;^UTILITY(U,$J,358.5,88,2,0)
;;=^357.52I^2^2
;;^UTILITY(U,$J,358.5,88,2,1,0)
;;=CONDITION^^I^^^6^1^40^1
;;^UTILITY(U,$J,358.5,88,2,2,0)
;;=%^^I^^^6^42^4^3
;;^UTILITY(U,$J,358.5,89,0)
;;=SC CONDITION 3^19^11^^3
;;^UTILITY(U,$J,358.5,89,2,0)
;;=^357.52I^2^2
;;^UTILITY(U,$J,358.5,89,2,1,0)
;;=CONDITION^^I^^^7^1^40^1
;;^UTILITY(U,$J,358.5,89,2,2,0)
;;=%^^I^^^7^42^4^3
;;^UTILITY(U,$J,358.5,90,0)
;;=SC CONDITION 4^19^11^1^4
;;^UTILITY(U,$J,358.5,90,2,0)
;;=^357.52I^2^2
;;^UTILITY(U,$J,358.5,90,2,1,0)
;;=CONDITION^^I^^^8^1^40^1
;;^UTILITY(U,$J,358.5,90,2,2,0)
;;=%^^I^^^8^42^4^3
;;^UTILITY(U,$J,358.5,91,0)
;;=SEX^19^23
;;^UTILITY(U,$J,358.5,91,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,91,2,1,0)
;;=Sex:^^^40^2^2^45^1^2
;;^UTILITY(U,$J,358.5,92,0)
;;=ELIGIBILITY^19^8
;;^UTILITY(U,$J,358.5,92,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,92,2,1,0)
;;=Eligibility:^^^1^3^3^14^30^1
;;^UTILITY(U,$J,358.5,93,0)
;;=MEANS TEST CATEGORY^19^24
;;^UTILITY(U,$J,358.5,93,2,0)
;;=^357.52I^1^1
;;^UTILITY(U,$J,358.5,93,2,1,0)
;;=Means Test Cat:^^^29^4^4^45^1^3
;;^UTILITY(U,$J,358.5,94,0)
;;=SERVICE HISTORY DATA^19^25
;;^UTILITY(U,$J,358.5,94,2,0)
;;=^357.52I^4^4
;;^UTILITY(U,$J,358.5,94,2,1,0)
;;=AO:^^^1^9^9^5^3^2
;;^UTILITY(U,$J,358.5,94,2,2,0)
;;=IR:^^^9^9^9^13^3^3
;;^UTILITY(U,$J,358.5,94,2,3,0)
;;=POW:^^^17^9^9^22^3^4
;;^UTILITY(U,$J,358.5,94,2,4,0)
;;=EC:^^^26^9^9^30^3^6
;;^UTILITY(U,$J,358.5,95,0)
;;=SC %^19^8
;;^UTILITY(U,$J,358.5,95,2,0)
;;=^357.52I^3^2
;;^UTILITY(U,$J,358.5,95,2,2,0)
;;=SC%:^^^17^4^4^22^3^7
;;^UTILITY(U,$J,358.5,95,2,3,0)
;;=%^^^25^4
;;^UTILITY(U,$J,358.5,96,0)
;;=SC TREATMENT QUESTIONS^20^26
;;^UTILITY(U,$J,358.5,96,2,0)
;;=^357.52I^2^2
;;^UTILITY(U,$J,358.5,96,2,1,0)
;;=SERVICE CONNECTED?^^I^^^0^0^46^1
IBDEI010 ; ; 18-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQR(358.5)
QUIT
FOR I=1:2
SET X=$TEXT(Q+I)
IF X=""
QUIT
SET Y=$EXTRACT($TEXT(Q+I+1),4,999)
SET X=$EXTRACT(X,4,999)
IF $ASCII(Y)=126
SET I=I+1
SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,99)
IF $ASCII(Y)=61
SET Y=$EXTRACT(Y,2,999)
XECUTE NO
IF '$TEST
SET @X=Y
Q QUIT
+1 ;;^UTILITY(U,$J,358.5,79,0)
+2 ;;=EMPLOYMENT STATUS^14^19
+3 ;;^UTILITY(U,$J,358.5,79,2,0)
+4 ;;=^357.52I^1^1
+5 ;;^UTILITY(U,$J,358.5,79,2,1,0)
+6 ;;=Status:^^^20^12^12^28^20^1
+7 ;;^UTILITY(U,$J,358.5,80,0)
+8 ;;=SPOUSE'S EMPLOYER^14^20
+9 ;;^UTILITY(U,$J,358.5,80,2,0)
+10 ;;=^357.52I^1^1
+11 ;;^UTILITY(U,$J,358.5,80,2,1,0)
+12 ;;=Spouse's Employer:^^U^1^14^15^4^45^1
+13 ;;^UTILITY(U,$J,358.5,81,0)
+14 ;;=VITALS^15^3
+15 ;;^UTILITY(U,$J,358.5,81,2,0)
+16 ;;=^357.52I^6^5
+17 ;;^UTILITY(U,$J,358.5,81,2,1,0)
+18 ;;=WT:^^^15^1^1^19^14^1
+19 ;;^UTILITY(U,$J,358.5,81,2,2,0)
+20 ;;=BP:^^^37^1^1^41^14^1
+21 ;;^UTILITY(U,$J,358.5,81,2,3,0)
+22 ;;=T:^^^59^1^1^62^14^1
+23 ;;^UTILITY(U,$J,358.5,81,2,4,0)
+24 ;;=P:^^^15^3^3^19^14^1
+25 ;;^UTILITY(U,$J,358.5,81,2,6,0)
+26 ;;=INITIALS/TIME:^^^38^3^3^54^20^1
+27 ;;^UTILITY(U,$J,358.5,82,0)
+28 ;;=PROGRESS NOTES^16^2^^^Progress Notes: ( ) Attached ( ) See Chart^^^^0^0^24^2^87
+29 ;;^UTILITY(U,$J,358.5,83,0)
+30 ;;=SIGNATURE^16^3
+31 ;;^UTILITY(U,$J,358.5,83,2,0)
+32 ;;=^357.52I^1^1
+33 ;;^UTILITY(U,$J,358.5,83,2,1,0)
+34 ;;=Provider Signature^^^64^27^26^54^45^1
+35 ;;^UTILITY(U,$J,358.5,84,0)
+36 ;;=PATIENT NAME^19^6
+37 ;;^UTILITY(U,$J,358.5,84,2,0)
+38 ;;=^357.52I^1^1
+39 ;;^UTILITY(U,$J,358.5,84,2,1,0)
+40 ;;=Patient Name:^^^1^1^1^15^30^1
+41 ;;^UTILITY(U,$J,358.5,85,0)
+42 ;;=PATIENT DOB^19^22
+43 ;;^UTILITY(U,$J,358.5,85,2,0)
+44 ;;=^357.52I^1^1
+45 ;;^UTILITY(U,$J,358.5,85,2,1,0)
+46 ;;=DOB:^^^1^2^2^6^12^1
+47 ;;^UTILITY(U,$J,358.5,86,0)
+48 ;;=PID^19^7
+49 ;;^UTILITY(U,$J,358.5,86,2,0)
+50 ;;=^357.52I^1^1
+51 ;;^UTILITY(U,$J,358.5,86,2,1,0)
+52 ;;=PID:^^^19^2^2^24^15^1
+53 ;;^UTILITY(U,$J,358.5,87,0)
+54 ;;=SC CONDITION 1^19^11^^1
+55 ;;^UTILITY(U,$J,358.5,87,2,0)
+56 ;;=^357.52I^2^2
+57 ;;^UTILITY(U,$J,358.5,87,2,1,0)
+58 ;;=SC Conditions:^^U^1^4^5^1^40^1
+59 ;;^UTILITY(U,$J,358.5,87,2,2,0)
+60 ;;=%^^I^^^5^42^4^3
+61 ;;^UTILITY(U,$J,358.5,88,0)
+62 ;;=SC CONDITION 2^19^11^^2
+63 ;;^UTILITY(U,$J,358.5,88,2,0)
+64 ;;=^357.52I^2^2
+65 ;;^UTILITY(U,$J,358.5,88,2,1,0)
+66 ;;=CONDITION^^I^^^6^1^40^1
+67 ;;^UTILITY(U,$J,358.5,88,2,2,0)
+68 ;;=%^^I^^^6^42^4^3
+69 ;;^UTILITY(U,$J,358.5,89,0)
+70 ;;=SC CONDITION 3^19^11^^3
+71 ;;^UTILITY(U,$J,358.5,89,2,0)
+72 ;;=^357.52I^2^2
+73 ;;^UTILITY(U,$J,358.5,89,2,1,0)
+74 ;;=CONDITION^^I^^^7^1^40^1
+75 ;;^UTILITY(U,$J,358.5,89,2,2,0)
+76 ;;=%^^I^^^7^42^4^3
+77 ;;^UTILITY(U,$J,358.5,90,0)
+78 ;;=SC CONDITION 4^19^11^1^4
+79 ;;^UTILITY(U,$J,358.5,90,2,0)
+80 ;;=^357.52I^2^2
+81 ;;^UTILITY(U,$J,358.5,90,2,1,0)
+82 ;;=CONDITION^^I^^^8^1^40^1
+83 ;;^UTILITY(U,$J,358.5,90,2,2,0)
+84 ;;=%^^I^^^8^42^4^3
+85 ;;^UTILITY(U,$J,358.5,91,0)
+86 ;;=SEX^19^23
+87 ;;^UTILITY(U,$J,358.5,91,2,0)
+88 ;;=^357.52I^1^1
+89 ;;^UTILITY(U,$J,358.5,91,2,1,0)
+90 ;;=Sex:^^^40^2^2^45^1^2
+91 ;;^UTILITY(U,$J,358.5,92,0)
+92 ;;=ELIGIBILITY^19^8
+93 ;;^UTILITY(U,$J,358.5,92,2,0)
+94 ;;=^357.52I^1^1
+95 ;;^UTILITY(U,$J,358.5,92,2,1,0)
+96 ;;=Eligibility:^^^1^3^3^14^30^1
+97 ;;^UTILITY(U,$J,358.5,93,0)
+98 ;;=MEANS TEST CATEGORY^19^24
+99 ;;^UTILITY(U,$J,358.5,93,2,0)
+100 ;;=^357.52I^1^1
+101 ;;^UTILITY(U,$J,358.5,93,2,1,0)
+102 ;;=Means Test Cat:^^^29^4^4^45^1^3
+103 ;;^UTILITY(U,$J,358.5,94,0)
+104 ;;=SERVICE HISTORY DATA^19^25
+105 ;;^UTILITY(U,$J,358.5,94,2,0)
+106 ;;=^357.52I^4^4
+107 ;;^UTILITY(U,$J,358.5,94,2,1,0)
+108 ;;=AO:^^^1^9^9^5^3^2
+109 ;;^UTILITY(U,$J,358.5,94,2,2,0)
+110 ;;=IR:^^^9^9^9^13^3^3
+111 ;;^UTILITY(U,$J,358.5,94,2,3,0)
+112 ;;=POW:^^^17^9^9^22^3^4
+113 ;;^UTILITY(U,$J,358.5,94,2,4,0)
+114 ;;=EC:^^^26^9^9^30^3^6
+115 ;;^UTILITY(U,$J,358.5,95,0)
+116 ;;=SC %^19^8
+117 ;;^UTILITY(U,$J,358.5,95,2,0)
+118 ;;=^357.52I^3^2
+119 ;;^UTILITY(U,$J,358.5,95,2,2,0)
+120 ;;=SC%:^^^17^4^4^22^3^7
+121 ;;^UTILITY(U,$J,358.5,95,2,3,0)
+122 ;;=%^^^25^4
+123 ;;^UTILITY(U,$J,358.5,96,0)
+124 ;;=SC TREATMENT QUESTIONS^20^26
+125 ;;^UTILITY(U,$J,358.5,96,2,0)
+126 ;;=^357.52I^2^2
+127 ;;^UTILITY(U,$J,358.5,96,2,1,0)
+128 ;;=SERVICE CONNECTED?^^I^^^0^0^46^1
