- IBDEI014 ; ; 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,$J,358.5,182,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,182,2,1,0)
- ;;=Patient Name:^^^1^1^1^15^30^1
- ;;^UTILITY(U,$J,358.5,183,0)
- ;;=PATIENT DOB^49^22
- ;;^UTILITY(U,$J,358.5,183,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,183,2,1,0)
- ;;=DOB:^^^1^2^2^6^12^1
- ;;^UTILITY(U,$J,358.5,184,0)
- ;;=PID^49^7
- ;;^UTILITY(U,$J,358.5,184,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,184,2,1,0)
- ;;=PID:^^^19^2^2^24^15^1
- ;;^UTILITY(U,$J,358.5,185,0)
- ;;=SC CONDITION 1^49^11^^1
- ;;^UTILITY(U,$J,358.5,185,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,185,2,1,0)
- ;;=SC Conditions:^^U^1^4^5^1^40^1
- ;;^UTILITY(U,$J,358.5,185,2,2,0)
- ;;=%^^I^^^5^42^4^3
- ;;^UTILITY(U,$J,358.5,186,0)
- ;;=SC CONDITION 2^49^11^^2
- ;;^UTILITY(U,$J,358.5,186,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,186,2,1,0)
- ;;=CONDITION^^I^^^6^1^40^1
- ;;^UTILITY(U,$J,358.5,186,2,2,0)
- ;;=%^^I^^^6^42^4^3
- ;;^UTILITY(U,$J,358.5,187,0)
- ;;=SC CONDITION 3^49^11^^3
- ;;^UTILITY(U,$J,358.5,187,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,187,2,1,0)
- ;;=CONDITION^^I^^^7^1^40^1
- ;;^UTILITY(U,$J,358.5,187,2,2,0)
- ;;=%^^I^^^7^42^4^3
- ;;^UTILITY(U,$J,358.5,188,0)
- ;;=SC CONDITION 4^49^11^1^4
- ;;^UTILITY(U,$J,358.5,188,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,188,2,1,0)
- ;;=CONDITION^^I^^^8^1^40^1
- ;;^UTILITY(U,$J,358.5,188,2,2,0)
- ;;=%^^I^^^8^42^4^3
- ;;^UTILITY(U,$J,358.5,189,0)
- ;;=SEX^49^23
- ;;^UTILITY(U,$J,358.5,189,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,189,2,1,0)
- ;;=Sex:^^^40^2^2^45^1^2
- ;;^UTILITY(U,$J,358.5,190,0)
- ;;=ELIGIBILITY^49^8
- ;;^UTILITY(U,$J,358.5,190,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,190,2,1,0)
- ;;=Eligibility:^^^1^3^3^14^30^1
- ;;^UTILITY(U,$J,358.5,191,0)
- ;;=MEANS TEST CATEGORY^49^24
- ;;^UTILITY(U,$J,358.5,191,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,191,2,1,0)
- ;;=Means Test Cat:^^^29^4^4^45^1^3
- ;;^UTILITY(U,$J,358.5,192,0)
- ;;=SERVICE HISTORY DATA^49^25
- ;;^UTILITY(U,$J,358.5,192,2,0)
- ;;=^357.52I^4^4
- ;;^UTILITY(U,$J,358.5,192,2,1,0)
- ;;=AO:^^^1^9^9^5^3^2
- ;;^UTILITY(U,$J,358.5,192,2,2,0)
- ;;=IR:^^^9^9^9^13^3^3
- ;;^UTILITY(U,$J,358.5,192,2,3,0)
- ;;=POW:^^^17^9^9^22^3^4
- ;;^UTILITY(U,$J,358.5,192,2,4,0)
- ;;=EC:^^^26^9^9^30^3^6
- ;;^UTILITY(U,$J,358.5,193,0)
- ;;=SC %^49^8
- ;;^UTILITY(U,$J,358.5,193,2,0)
- ;;=^357.52I^3^2
- ;;^UTILITY(U,$J,358.5,193,2,2,0)
- ;;=SC%:^^^17^4^4^22^3^7
- ;;^UTILITY(U,$J,358.5,193,2,3,0)
- ;;=%^^^25^4
- ;;^UTILITY(U,$J,358.5,194,0)
- ;;=SIGNATURE^50^3
- ;;^UTILITY(U,$J,358.5,194,2,0)
- ;;=^357.52I^1^1
- ;;^UTILITY(U,$J,358.5,194,2,1,0)
- ;;=Signature of Provider^^^11^1^0^1^40^1
- ;;^UTILITY(U,$J,358.5,195,0)
- ;;=SC TREATMENT QUESTIONS^51^26
- ;;^UTILITY(U,$J,358.5,195,2,0)
- ;;=^357.52I^2^2
- ;;^UTILITY(U,$J,358.5,195,2,1,0)
- ;;=SERVICE CONNECTED?^^I^^^0^0^46^1
- ;;^UTILITY(U,$J,358.5,195,2,2,0)
- ;;=AO,IR OR EC?^^I^^^1^0^43^5
- ;;^UTILITY(U,$J,358.5,196,0)
- ;;=Comments:^53^2^^^Comments:^^^^1^8^4^2^72
- ;;^UTILITY(U,$J,358.5,197,0)
- ;;=PROBLEM 1^53^28^0^1
- ;;^UTILITY(U,$J,358.5,197,2,0)
- ;;=^357.52I^3^3
- ;;^UTILITY(U,$J,358.5,197,2,1,0)
- ;;=PROBLEM TEXT^^I^^^4^21^40^1
- ;;^UTILITY(U,$J,358.5,197,2,2,0)
- ;;=ICD-9^^I^^^4^62^7^2
- ;;^UTILITY(U,$J,358.5,197,2,3,0)
- ;;=SC?^^I^^^4^71^1^5
- ;;^UTILITY(U,$J,358.5,198,0)
- ;;=PROBLEM 2^53^28^0^2
- ;;^UTILITY(U,$J,358.5,198,2,0)
- ;;=^357.52I^3^3
- ;;^UTILITY(U,$J,358.5,198,2,1,0)
- ;;=PROBLEM TEXT^^I^^^5^21^40^1
- ;;^UTILITY(U,$J,358.5,198,2,2,0)
- ;;=ICD-9^^I^^^5^62^7^2
- ;;^UTILITY(U,$J,358.5,198,2,3,0)
- ;;=SC?^^I^^^5^71^1^5
- ;;^UTILITY(U,$J,358.5,199,0)
- ;;=PROBLEM 3^53^28^0^3
- ;;^UTILITY(U,$J,358.5,199,2,0)
- ;;=^357.52I^3^3
- ;;^UTILITY(U,$J,358.5,199,2,1,0)
- ;;=PROBLEM TEXT^^I^^^6^21^40^1
- IBDEI014 ; ; 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,358.5,182,2,0)
- +2 ;;=^357.52I^1^1
- +3 ;;^UTILITY(U,$J,358.5,182,2,1,0)
- +4 ;;=Patient Name:^^^1^1^1^15^30^1
- +5 ;;^UTILITY(U,$J,358.5,183,0)
- +6 ;;=PATIENT DOB^49^22
- +7 ;;^UTILITY(U,$J,358.5,183,2,0)
- +8 ;;=^357.52I^1^1
- +9 ;;^UTILITY(U,$J,358.5,183,2,1,0)
- +10 ;;=DOB:^^^1^2^2^6^12^1
- +11 ;;^UTILITY(U,$J,358.5,184,0)
- +12 ;;=PID^49^7
- +13 ;;^UTILITY(U,$J,358.5,184,2,0)
- +14 ;;=^357.52I^1^1
- +15 ;;^UTILITY(U,$J,358.5,184,2,1,0)
- +16 ;;=PID:^^^19^2^2^24^15^1
- +17 ;;^UTILITY(U,$J,358.5,185,0)
- +18 ;;=SC CONDITION 1^49^11^^1
- +19 ;;^UTILITY(U,$J,358.5,185,2,0)
- +20 ;;=^357.52I^2^2
- +21 ;;^UTILITY(U,$J,358.5,185,2,1,0)
- +22 ;;=SC Conditions:^^U^1^4^5^1^40^1
- +23 ;;^UTILITY(U,$J,358.5,185,2,2,0)
- +24 ;;=%^^I^^^5^42^4^3
- +25 ;;^UTILITY(U,$J,358.5,186,0)
- +26 ;;=SC CONDITION 2^49^11^^2
- +27 ;;^UTILITY(U,$J,358.5,186,2,0)
- +28 ;;=^357.52I^2^2
- +29 ;;^UTILITY(U,$J,358.5,186,2,1,0)
- +30 ;;=CONDITION^^I^^^6^1^40^1
- +31 ;;^UTILITY(U,$J,358.5,186,2,2,0)
- +32 ;;=%^^I^^^6^42^4^3
- +33 ;;^UTILITY(U,$J,358.5,187,0)
- +34 ;;=SC CONDITION 3^49^11^^3
- +35 ;;^UTILITY(U,$J,358.5,187,2,0)
- +36 ;;=^357.52I^2^2
- +37 ;;^UTILITY(U,$J,358.5,187,2,1,0)
- +38 ;;=CONDITION^^I^^^7^1^40^1
- +39 ;;^UTILITY(U,$J,358.5,187,2,2,0)
- +40 ;;=%^^I^^^7^42^4^3
- +41 ;;^UTILITY(U,$J,358.5,188,0)
- +42 ;;=SC CONDITION 4^49^11^1^4
- +43 ;;^UTILITY(U,$J,358.5,188,2,0)
- +44 ;;=^357.52I^2^2
- +45 ;;^UTILITY(U,$J,358.5,188,2,1,0)
- +46 ;;=CONDITION^^I^^^8^1^40^1
- +47 ;;^UTILITY(U,$J,358.5,188,2,2,0)
- +48 ;;=%^^I^^^8^42^4^3
- +49 ;;^UTILITY(U,$J,358.5,189,0)
- +50 ;;=SEX^49^23
- +51 ;;^UTILITY(U,$J,358.5,189,2,0)
- +52 ;;=^357.52I^1^1
- +53 ;;^UTILITY(U,$J,358.5,189,2,1,0)
- +54 ;;=Sex:^^^40^2^2^45^1^2
- +55 ;;^UTILITY(U,$J,358.5,190,0)
- +56 ;;=ELIGIBILITY^49^8
- +57 ;;^UTILITY(U,$J,358.5,190,2,0)
- +58 ;;=^357.52I^1^1
- +59 ;;^UTILITY(U,$J,358.5,190,2,1,0)
- +60 ;;=Eligibility:^^^1^3^3^14^30^1
- +61 ;;^UTILITY(U,$J,358.5,191,0)
- +62 ;;=MEANS TEST CATEGORY^49^24
- +63 ;;^UTILITY(U,$J,358.5,191,2,0)
- +64 ;;=^357.52I^1^1
- +65 ;;^UTILITY(U,$J,358.5,191,2,1,0)
- +66 ;;=Means Test Cat:^^^29^4^4^45^1^3
- +67 ;;^UTILITY(U,$J,358.5,192,0)
- +68 ;;=SERVICE HISTORY DATA^49^25
- +69 ;;^UTILITY(U,$J,358.5,192,2,0)
- +70 ;;=^357.52I^4^4
- +71 ;;^UTILITY(U,$J,358.5,192,2,1,0)
- +72 ;;=AO:^^^1^9^9^5^3^2
- +73 ;;^UTILITY(U,$J,358.5,192,2,2,0)
- +74 ;;=IR:^^^9^9^9^13^3^3
- +75 ;;^UTILITY(U,$J,358.5,192,2,3,0)
- +76 ;;=POW:^^^17^9^9^22^3^4
- +77 ;;^UTILITY(U,$J,358.5,192,2,4,0)
- +78 ;;=EC:^^^26^9^9^30^3^6
- +79 ;;^UTILITY(U,$J,358.5,193,0)
- +80 ;;=SC %^49^8
- +81 ;;^UTILITY(U,$J,358.5,193,2,0)
- +82 ;;=^357.52I^3^2
- +83 ;;^UTILITY(U,$J,358.5,193,2,2,0)
- +84 ;;=SC%:^^^17^4^4^22^3^7
- +85 ;;^UTILITY(U,$J,358.5,193,2,3,0)
- +86 ;;=%^^^25^4
- +87 ;;^UTILITY(U,$J,358.5,194,0)
- +88 ;;=SIGNATURE^50^3
- +89 ;;^UTILITY(U,$J,358.5,194,2,0)
- +90 ;;=^357.52I^1^1
- +91 ;;^UTILITY(U,$J,358.5,194,2,1,0)
- +92 ;;=Signature of Provider^^^11^1^0^1^40^1
- +93 ;;^UTILITY(U,$J,358.5,195,0)
- +94 ;;=SC TREATMENT QUESTIONS^51^26
- +95 ;;^UTILITY(U,$J,358.5,195,2,0)
- +96 ;;=^357.52I^2^2
- +97 ;;^UTILITY(U,$J,358.5,195,2,1,0)
- +98 ;;=SERVICE CONNECTED?^^I^^^0^0^46^1
- +99 ;;^UTILITY(U,$J,358.5,195,2,2,0)
- +100 ;;=AO,IR OR EC?^^I^^^1^0^43^5
- +101 ;;^UTILITY(U,$J,358.5,196,0)
- +102 ;;=Comments:^53^2^^^Comments:^^^^1^8^4^2^72
- +103 ;;^UTILITY(U,$J,358.5,197,0)
- +104 ;;=PROBLEM 1^53^28^0^1
- +105 ;;^UTILITY(U,$J,358.5,197,2,0)
- +106 ;;=^357.52I^3^3
- +107 ;;^UTILITY(U,$J,358.5,197,2,1,0)
- +108 ;;=PROBLEM TEXT^^I^^^4^21^40^1
- +109 ;;^UTILITY(U,$J,358.5,197,2,2,0)
- +110 ;;=ICD-9^^I^^^4^62^7^2
- +111 ;;^UTILITY(U,$J,358.5,197,2,3,0)
- +112 ;;=SC?^^I^^^4^71^1^5
- +113 ;;^UTILITY(U,$J,358.5,198,0)
- +114 ;;=PROBLEM 2^53^28^0^2
- +115 ;;^UTILITY(U,$J,358.5,198,2,0)
- +116 ;;=^357.52I^3^3
- +117 ;;^UTILITY(U,$J,358.5,198,2,1,0)
- +118 ;;=PROBLEM TEXT^^I^^^5^21^40^1
- +119 ;;^UTILITY(U,$J,358.5,198,2,2,0)
- +120 ;;=ICD-9^^I^^^5^62^7^2
- +121 ;;^UTILITY(U,$J,358.5,198,2,3,0)
- +122 ;;=SC?^^I^^^5^71^1^5
- +123 ;;^UTILITY(U,$J,358.5,199,0)
- +124 ;;=PROBLEM 3^53^28^0^3
- +125 ;;^UTILITY(U,$J,358.5,199,2,0)
- +126 ;;=^357.52I^3^3
- +127 ;;^UTILITY(U,$J,358.5,199,2,1,0)
- +128 ;;=PROBLEM TEXT^^I^^^6^21^40^1
