- IBDEI011 ; ; 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,$J,358.5,96,2,2,0)
- ;;=AO,IR OR EC?^^I^^^1^0^43^5
- ;;^UTILITY(U,$J,358.5,137,0)
- ;;=CLINIC^31^5
- ;;^UTILITY(U,$J,358.5,137,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,137,2,1,0)
- ;;=Clinic:^^^0^0^0^8^30^1
- ;;^UTILITY(U,$J,358.5,138,0)
- ;;=APPT. DT/TIME^31^4
- ;;^UTILITY(U,$J,358.5,138,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,138,2,1,0)
- ;;=Appt. DT/Time:^^^0^2^2^15^23^1
- ;;^UTILITY(U,$J,358.5,139,0)
- ;;=OTHER ALLERGIES^32^3
- ;;^UTILITY(U,$J,358.5,139,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,139,2,1,0)
- ;;=Other:^^^1^7
- ;;^UTILITY(U,$J,358.5,140,0)
- ;;=ALLERGY 1^32^15^0^1
- ;;^UTILITY(U,$J,358.5,140,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,140,2,1,0)
- ;;=ALLERGY^^I^^^3^1^30^1
- ;;^UTILITY(U,$J,358.5,140,2,2,0)
- ;;=TYPE^^U^32^2^3^32^5^2
- ;;^UTILITY(U,$J,358.5,140,2,3,0)
- ;;=VER^^U^45^2^3^45^3^4
- ;;^UTILITY(U,$J,358.5,140,2,4,0)
- ;;=TRUE^^U^39^2^3^40^3^5
- ;;^UTILITY(U,$J,358.5,141,0)
- ;;=ALLERGY 2^32^15^0^2
- ;;^UTILITY(U,$J,358.5,141,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,141,2,1,0)
- ;;=ALLERGY^^I^^^4^1^30^1
- ;;^UTILITY(U,$J,358.5,141,2,2,0)
- ;;=TYPE^^I^^^4^32^5^2
- ;;^UTILITY(U,$J,358.5,141,2,3,0)
- ;;=TRUE^^I^^^4^40^3^5
- ;;^UTILITY(U,$J,358.5,141,2,4,0)
- ;;=VER^^I^^^4^45^3^4
- ;;^UTILITY(U,$J,358.5,142,0)
- ;;=ALLERGY 3^32^15^0^3
- ;;^UTILITY(U,$J,358.5,142,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,142,2,1,0)
- ;;=ALLERGY^^I^^^5^1^30^1
- ;;^UTILITY(U,$J,358.5,142,2,2,0)
- ;;=TYPE^^I^^^5^32^5^2
- ;;^UTILITY(U,$J,358.5,142,2,3,0)
- ;;=TRUE^^I^^^5^40^3^5
- ;;^UTILITY(U,$J,358.5,142,2,4,0)
- ;;=VER^^I^^^5^45^3^4
- ;;^UTILITY(U,$J,358.5,143,0)
- ;;=ALLERGY 4^32^15^1^4
- ;;^UTILITY(U,$J,358.5,143,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,143,2,1,0)
- ;;=ALLERGY^^I^^^6^1^30^1
- ;;^UTILITY(U,$J,358.5,143,2,2,0)
- ;;=TYPE^^I^^^6^32^5^2
- ;;^UTILITY(U,$J,358.5,143,2,3,0)
- ;;=TRUE^^I^^^6^40^3^5
- ;;^UTILITY(U,$J,358.5,143,2,4,0)
- ;;=VER^^I^^^6^45^3^4
- ;;^UTILITY(U,$J,358.5,144,0)
- ;;=INSURED?^34^12
- ;;^UTILITY(U,$J,358.5,144,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,144,2,1,0)
- ;;=Insurance:^^U^1^0^0^12^7^1
- ;;^UTILITY(U,$J,358.5,145,0)
- ;;=INSURANCE 1^34^13^0^1
- ;;^UTILITY(U,$J,358.5,145,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,145,2,1,0)
- ;;=COMPANY^^I^^^1^1^28^1
- ;;^UTILITY(U,$J,358.5,145,2,2,0)
- ;;=Policy Number:^^U^30^0^1^30^19^3
- ;;^UTILITY(U,$J,358.5,146,0)
- ;;=INSURANCE 2^34^13^0^2
- ;;^UTILITY(U,$J,358.5,146,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,146,2,1,0)
- ;;=COMPANY^^I^^^2^1^28^1
- ;;^UTILITY(U,$J,358.5,146,2,2,0)
- ;;=POLICY #^^I^^^2^30^19^3
- ;;^UTILITY(U,$J,358.5,147,0)
- ;;=INSURANCE 3^34^13^0^3
- ;;^UTILITY(U,$J,358.5,147,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,147,2,1,0)
- ;;=COMPANY^^I^^^3^1^28^1
- ;;^UTILITY(U,$J,358.5,147,2,2,0)
- ;;=POLICY #^^I^^^3^30^19^3
- ;;^UTILITY(U,$J,358.5,148,0)
- ;;=INSURANCE 4^34^13^1^4
- ;;^UTILITY(U,$J,358.5,148,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,148,2,1,0)
- ;;=COMPANY^^I^^^4^1^28^1
- ;;^UTILITY(U,$J,358.5,148,2,2,0)
- ;;=POLICY #^^I^^^4^30^19^3
- ;;^UTILITY(U,$J,358.5,149,0)
- ;;=VITALS^35^3
- ;;^UTILITY(U,$J,358.5,149,2,0)
- ;;=^357.52I^6^5
- ;;^UTILITY(U,$J,358.5,149,2,1,0)
- ;;=Weight:^^^1^3^3^11^14^1
- ;;^UTILITY(U,$J,358.5,149,2,2,0)
- ;;=BP:^^^1^5^5^11^14^1
- ;;^UTILITY(U,$J,358.5,149,2,3,0)
- ;;=Temp:^^^1^7^7^11^14^1
- ;;^UTILITY(U,$J,358.5,149,2,4,0)
- ;;=Pulse:^^^1^9^9^11^14^1
- ;;^UTILITY(U,$J,358.5,149,2,6,0)
- ;;=INITIALS/TIME:^^^5^12^14^2^26^
- ;;^UTILITY(U,$J,358.5,150,0)
- ;;=SIGNATURE^36^3
- ;;^UTILITY(U,$J,358.5,150,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,150,2,1,0)
- ;;=Signature of Provider^^^12^4^3^0^45^1
- ;;^UTILITY(U,$J,358.5,151,0)
- ;;=PATIENT NAME^38^6
- IBDEI011 ; ; 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,358.5,96,2,2,0)
- +2 ;;=AO,IR OR EC?^^I^^^1^0^43^5
- +3 ;;^UTILITY(U,$J,358.5,137,0)
- +4 ;;=CLINIC^31^5
- +5 ;;^UTILITY(U,$J,358.5,137,2,0)
- +6 ;;=^357.52I^1^1
- +7 ;;^UTILITY(U,$J,358.5,137,2,1,0)
- +8 ;;=Clinic:^^^0^0^0^8^30^1
- +9 ;;^UTILITY(U,$J,358.5,138,0)
- +10 ;;=APPT. DT/TIME^31^4
- +11 ;;^UTILITY(U,$J,358.5,138,2,0)
- +12 ;;=^357.52I^1^1
- +13 ;;^UTILITY(U,$J,358.5,138,2,1,0)
- +14 ;;=Appt. DT/Time:^^^0^2^2^15^23^1
- +15 ;;^UTILITY(U,$J,358.5,139,0)
- +16 ;;=OTHER ALLERGIES^32^3
- +17 ;;^UTILITY(U,$J,358.5,139,2,0)
- +18 ;;=^357.52I^1^1
- +19 ;;^UTILITY(U,$J,358.5,139,2,1,0)
- +20 ;;=Other:^^^1^7
- +21 ;;^UTILITY(U,$J,358.5,140,0)
- +22 ;;=ALLERGY 1^32^15^0^1
- +23 ;;^UTILITY(U,$J,358.5,140,2,0)
- +24 ;;=^357.52I^4^4
- +25 ;;^UTILITY(U,$J,358.5,140,2,1,0)
- +26 ;;=ALLERGY^^I^^^3^1^30^1
- +27 ;;^UTILITY(U,$J,358.5,140,2,2,0)
- +28 ;;=TYPE^^U^32^2^3^32^5^2
- +29 ;;^UTILITY(U,$J,358.5,140,2,3,0)
- +30 ;;=VER^^U^45^2^3^45^3^4
- +31 ;;^UTILITY(U,$J,358.5,140,2,4,0)
- +32 ;;=TRUE^^U^39^2^3^40^3^5
- +33 ;;^UTILITY(U,$J,358.5,141,0)
- +34 ;;=ALLERGY 2^32^15^0^2
- +35 ;;^UTILITY(U,$J,358.5,141,2,0)
- +36 ;;=^357.52I^4^4
- +37 ;;^UTILITY(U,$J,358.5,141,2,1,0)
- +38 ;;=ALLERGY^^I^^^4^1^30^1
- +39 ;;^UTILITY(U,$J,358.5,141,2,2,0)
- +40 ;;=TYPE^^I^^^4^32^5^2
- +41 ;;^UTILITY(U,$J,358.5,141,2,3,0)
- +42 ;;=TRUE^^I^^^4^40^3^5
- +43 ;;^UTILITY(U,$J,358.5,141,2,4,0)
- +44 ;;=VER^^I^^^4^45^3^4
- +45 ;;^UTILITY(U,$J,358.5,142,0)
- +46 ;;=ALLERGY 3^32^15^0^3
- +47 ;;^UTILITY(U,$J,358.5,142,2,0)
- +48 ;;=^357.52I^4^4
- +49 ;;^UTILITY(U,$J,358.5,142,2,1,0)
- +50 ;;=ALLERGY^^I^^^5^1^30^1
- +51 ;;^UTILITY(U,$J,358.5,142,2,2,0)
- +52 ;;=TYPE^^I^^^5^32^5^2
- +53 ;;^UTILITY(U,$J,358.5,142,2,3,0)
- +54 ;;=TRUE^^I^^^5^40^3^5
- +55 ;;^UTILITY(U,$J,358.5,142,2,4,0)
- +56 ;;=VER^^I^^^5^45^3^4
- +57 ;;^UTILITY(U,$J,358.5,143,0)
- +58 ;;=ALLERGY 4^32^15^1^4
- +59 ;;^UTILITY(U,$J,358.5,143,2,0)
- +60 ;;=^357.52I^4^4
- +61 ;;^UTILITY(U,$J,358.5,143,2,1,0)
- +62 ;;=ALLERGY^^I^^^6^1^30^1
- +63 ;;^UTILITY(U,$J,358.5,143,2,2,0)
- +64 ;;=TYPE^^I^^^6^32^5^2
- +65 ;;^UTILITY(U,$J,358.5,143,2,3,0)
- +66 ;;=TRUE^^I^^^6^40^3^5
- +67 ;;^UTILITY(U,$J,358.5,143,2,4,0)
- +68 ;;=VER^^I^^^6^45^3^4
- +69 ;;^UTILITY(U,$J,358.5,144,0)
- +70 ;;=INSURED?^34^12
- +71 ;;^UTILITY(U,$J,358.5,144,2,0)
- +72 ;;=^357.52I^1^1
- +73 ;;^UTILITY(U,$J,358.5,144,2,1,0)
- +74 ;;=Insurance:^^U^1^0^0^12^7^1
- +75 ;;^UTILITY(U,$J,358.5,145,0)
- +76 ;;=INSURANCE 1^34^13^0^1
- +77 ;;^UTILITY(U,$J,358.5,145,2,0)
- +78 ;;=^357.52I^2^2
- +79 ;;^UTILITY(U,$J,358.5,145,2,1,0)
- +80 ;;=COMPANY^^I^^^1^1^28^1
- +81 ;;^UTILITY(U,$J,358.5,145,2,2,0)
- +82 ;;=Policy Number:^^U^30^0^1^30^19^3
- +83 ;;^UTILITY(U,$J,358.5,146,0)
- +84 ;;=INSURANCE 2^34^13^0^2
- +85 ;;^UTILITY(U,$J,358.5,146,2,0)
- +86 ;;=^357.52I^2^2
- +87 ;;^UTILITY(U,$J,358.5,146,2,1,0)
- +88 ;;=COMPANY^^I^^^2^1^28^1
- +89 ;;^UTILITY(U,$J,358.5,146,2,2,0)
- +90 ;;=POLICY #^^I^^^2^30^19^3
- +91 ;;^UTILITY(U,$J,358.5,147,0)
- +92 ;;=INSURANCE 3^34^13^0^3
- +93 ;;^UTILITY(U,$J,358.5,147,2,0)
- +94 ;;=^357.52I^2^2
- +95 ;;^UTILITY(U,$J,358.5,147,2,1,0)
- +96 ;;=COMPANY^^I^^^3^1^28^1
- +97 ;;^UTILITY(U,$J,358.5,147,2,2,0)
- +98 ;;=POLICY #^^I^^^3^30^19^3
- +99 ;;^UTILITY(U,$J,358.5,148,0)
- +100 ;;=INSURANCE 4^34^13^1^4
- +101 ;;^UTILITY(U,$J,358.5,148,2,0)
- +102 ;;=^357.52I^2^2
- +103 ;;^UTILITY(U,$J,358.5,148,2,1,0)
- +104 ;;=COMPANY^^I^^^4^1^28^1
- +105 ;;^UTILITY(U,$J,358.5,148,2,2,0)
- +106 ;;=POLICY #^^I^^^4^30^19^3
- +107 ;;^UTILITY(U,$J,358.5,149,0)
- +108 ;;=VITALS^35^3
- +109 ;;^UTILITY(U,$J,358.5,149,2,0)
- +110 ;;=^357.52I^6^5
- +111 ;;^UTILITY(U,$J,358.5,149,2,1,0)
- +112 ;;=Weight:^^^1^3^3^11^14^1
- +113 ;;^UTILITY(U,$J,358.5,149,2,2,0)
- +114 ;;=BP:^^^1^5^5^11^14^1
- +115 ;;^UTILITY(U,$J,358.5,149,2,3,0)
- +116 ;;=Temp:^^^1^7^7^11^14^1
- +117 ;;^UTILITY(U,$J,358.5,149,2,4,0)
- +118 ;;=Pulse:^^^1^9^9^11^14^1
- +119 ;;^UTILITY(U,$J,358.5,149,2,6,0)
- +120 ;;=INITIALS/TIME:^^^5^12^14^2^26^
- +121 ;;^UTILITY(U,$J,358.5,150,0)
- +122 ;;=SIGNATURE^36^3
- +123 ;;^UTILITY(U,$J,358.5,150,2,0)
- +124 ;;=^357.52I^1^1
- +125 ;;^UTILITY(U,$J,358.5,150,2,1,0)
- +126 ;;=Signature of Provider^^^12^4^3^0^45^1
- +127 ;;^UTILITY(U,$J,358.5,151,0)
- +128 ;;=PATIENT NAME^38^6
