IBDEI0FU ; ; 03-MAY-2022
;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 03, 2022
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),5,999) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
Q Q
;;^UTILITY(U,$J,358.5,116,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,116,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,117,0)
;;=HEADER^143
;;^UTILITY(U,$J,358.5,117,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,117,2,1,0)
;;=NATIONAL RESPIRATORY THERAPY - PFT/SLEEP/OXYGEN^^^0^0
;;^UTILITY(U,$J,358.5,118,0)
;;=Patient name^144^3
;;^UTILITY(U,$J,358.5,118,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,118,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,119,0)
;;=SSN^144^4
;;^UTILITY(U,$J,358.5,119,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,119,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,120,0)
;;=Age^144^5
;;^UTILITY(U,$J,358.5,120,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,120,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,120,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,121,0)
;;=HEADER^147
;;^UTILITY(U,$J,358.5,121,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,121,2,1,0)
;;=NATIONAL SPINAL CORD INJURY^^^0^0
;;^UTILITY(U,$J,358.5,122,0)
;;=Patient name^148^3
;;^UTILITY(U,$J,358.5,122,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,122,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,123,0)
;;=SSN^148^4
;;^UTILITY(U,$J,358.5,123,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,123,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,124,0)
;;=Age^148^5
;;^UTILITY(U,$J,358.5,124,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,124,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,124,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,125,0)
;;=HEADER^153
;;^UTILITY(U,$J,358.5,125,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,125,2,1,0)
;;=NATIONAL SPEECH^^^0^0
;;^UTILITY(U,$J,358.5,126,0)
;;=Patient name^154^3
;;^UTILITY(U,$J,358.5,126,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,126,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,127,0)
;;=SSN^154^4
;;^UTILITY(U,$J,358.5,127,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,127,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,128,0)
;;=Age^154^5
;;^UTILITY(U,$J,358.5,128,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,128,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,128,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,129,0)
;;=HEADER^157
;;^UTILITY(U,$J,358.5,129,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,129,2,1,0)
;;=NATIONAL TBI^^^0^0
;;^UTILITY(U,$J,358.5,130,0)
;;=Patient name^158^3
;;^UTILITY(U,$J,358.5,130,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,130,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,131,0)
;;=SSN^158^4
;;^UTILITY(U,$J,358.5,131,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,131,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,132,0)
;;=Age^158^5
;;^UTILITY(U,$J,358.5,132,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,132,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,132,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,133,0)
;;=HEADER^162
;;^UTILITY(U,$J,358.5,133,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,133,2,1,0)
;;=NATIONAL TELEDERM^^^0^0
;;^UTILITY(U,$J,358.5,134,0)
;;=Patient name^163^3
;;^UTILITY(U,$J,358.5,134,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,134,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,135,0)
;;=SSN^163^4
;;^UTILITY(U,$J,358.5,135,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,135,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,136,0)
;;=Age^163^5
;;^UTILITY(U,$J,358.5,136,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,136,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,136,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,137,0)
;;=HEADER^166
;;^UTILITY(U,$J,358.5,137,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,137,2,1,0)
;;=NATIONAL TELEHEALTH - PATIENT SITE^^^0^0
;;^UTILITY(U,$J,358.5,138,0)
;;=Patient name^167^3
;;^UTILITY(U,$J,358.5,138,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,138,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,139,0)
;;=SSN^167^4
;;^UTILITY(U,$J,358.5,139,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,139,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,140,0)
;;=Age^167^5
;;^UTILITY(U,$J,358.5,140,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,140,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,140,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,141,0)
;;=HEADER^172
;;^UTILITY(U,$J,358.5,141,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,141,2,1,0)
;;=NATIONAL TRANSPLANT^^^0^0
;;^UTILITY(U,$J,358.5,142,0)
;;=Patient name^173^3
;;^UTILITY(U,$J,358.5,142,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,142,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,143,0)
;;=SSN^173^4
;;^UTILITY(U,$J,358.5,143,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,143,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,144,0)
;;=Age^173^5
;;^UTILITY(U,$J,358.5,144,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,144,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,144,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,145,0)
;;=HEADER^175
;;^UTILITY(U,$J,358.5,145,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,145,2,1,0)
;;=NATIONAL URGENT CARE^^^0^0
;;^UTILITY(U,$J,358.5,146,0)
;;=Patient name^176^3
;;^UTILITY(U,$J,358.5,146,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,146,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,147,0)
;;=SSN^176^4
;;^UTILITY(U,$J,358.5,147,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,147,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,148,0)
;;=Age^176^5
;;^UTILITY(U,$J,358.5,148,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,148,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,148,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,149,0)
;;=HEADER^180
;;^UTILITY(U,$J,358.5,149,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,149,2,1,0)
;;=NATIONAL GATEWAY TO HEALTHY LIVING^^^0^0
;;^UTILITY(U,$J,358.5,150,0)
;;=Patient name^181^3
;;^UTILITY(U,$J,358.5,150,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,150,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,151,0)
;;=SSN^181^4
;;^UTILITY(U,$J,358.5,151,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,151,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,152,0)
;;=Age^181^5
;;^UTILITY(U,$J,358.5,152,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,152,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,152,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,153,0)
;;=HEADER^184
;;^UTILITY(U,$J,358.5,153,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,153,2,1,0)
;;=NATIONAL COVID-19 SUPPLEMENTAL FORM^^B^0^0
;;^UTILITY(U,$J,358.5,154,0)
;;=Patient name^185^3
;;^UTILITY(U,$J,358.5,154,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,154,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,155,0)
;;=SSN^185^4
;;^UTILITY(U,$J,358.5,155,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,155,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,156,0)
;;=Age^185^5
;;^UTILITY(U,$J,358.5,156,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,156,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,156,2,2,0)
;;=Age:^^^78^1^1^83^3^2
;;^UTILITY(U,$J,358.5,157,0)
;;=HEADER^187
;;^UTILITY(U,$J,358.5,157,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,157,2,1,0)
;;=NATIONAL TELEPHONE COVID-19 SUPPLEMENTAL FORM^^^0^0
;;^UTILITY(U,$J,358.5,158,0)
;;=Patient name^188^3
;;^UTILITY(U,$J,358.5,158,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,158,2,1,0)
;;=Name:^^^1^1^1^7^30^1
;;^UTILITY(U,$J,358.5,159,0)
;;=SSN^188^4
;;^UTILITY(U,$J,358.5,159,2,0)
;;=^358.52^1^1
;;^UTILITY(U,$J,358.5,159,2,1,0)
;;=SSN:^^^39^1^1^44^15^1
;;^UTILITY(U,$J,358.5,160,0)
;;=Age^188^5
;;^UTILITY(U,$J,358.5,160,2,0)
;;=^358.52^2^2
;;^UTILITY(U,$J,358.5,160,2,1,0)
;;=DOB:^^^60^1^1^65^12^1
;;^UTILITY(U,$J,358.5,160,2,2,0)
;;=Age:^^^78^1^1^83^3^2
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0FU 8242 printed Sep 23, 2025@19:23:51 Page 2
IBDEI0FU ; ; 03-MAY-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 03, 2022
+2 if 'DIFQR(358.5)
QUIT
FOR I=1:2
SET X=$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),5,999)
if $ASCII(Y)=61
SET Y=$EXTRACT(Y,2,999)
XECUTE NO
IF '$TEST
SET @X=Y
Q QUIT
+1 ;;^UTILITY(U,$J,358.5,116,2,1,0)
+2 ;;=DOB:^^^60^1^1^65^12^1
+3 ;;^UTILITY(U,$J,358.5,116,2,2,0)
+4 ;;=Age:^^^78^1^1^83^3^2
+5 ;;^UTILITY(U,$J,358.5,117,0)
+6 ;;=HEADER^143
+7 ;;^UTILITY(U,$J,358.5,117,2,0)
+8 ;;=^358.52^1^1
+9 ;;^UTILITY(U,$J,358.5,117,2,1,0)
+10 ;;=NATIONAL RESPIRATORY THERAPY - PFT/SLEEP/OXYGEN^^^0^0
+11 ;;^UTILITY(U,$J,358.5,118,0)
+12 ;;=Patient name^144^3
+13 ;;^UTILITY(U,$J,358.5,118,2,0)
+14 ;;=^358.52^1^1
+15 ;;^UTILITY(U,$J,358.5,118,2,1,0)
+16 ;;=Name:^^^1^1^1^7^30^1
+17 ;;^UTILITY(U,$J,358.5,119,0)
+18 ;;=SSN^144^4
+19 ;;^UTILITY(U,$J,358.5,119,2,0)
+20 ;;=^358.52^1^1
+21 ;;^UTILITY(U,$J,358.5,119,2,1,0)
+22 ;;=SSN:^^^39^1^1^44^15^1
+23 ;;^UTILITY(U,$J,358.5,120,0)
+24 ;;=Age^144^5
+25 ;;^UTILITY(U,$J,358.5,120,2,0)
+26 ;;=^358.52^2^2
+27 ;;^UTILITY(U,$J,358.5,120,2,1,0)
+28 ;;=DOB:^^^60^1^1^65^12^1
+29 ;;^UTILITY(U,$J,358.5,120,2,2,0)
+30 ;;=Age:^^^78^1^1^83^3^2
+31 ;;^UTILITY(U,$J,358.5,121,0)
+32 ;;=HEADER^147
+33 ;;^UTILITY(U,$J,358.5,121,2,0)
+34 ;;=^358.52^1^1
+35 ;;^UTILITY(U,$J,358.5,121,2,1,0)
+36 ;;=NATIONAL SPINAL CORD INJURY^^^0^0
+37 ;;^UTILITY(U,$J,358.5,122,0)
+38 ;;=Patient name^148^3
+39 ;;^UTILITY(U,$J,358.5,122,2,0)
+40 ;;=^358.52^1^1
+41 ;;^UTILITY(U,$J,358.5,122,2,1,0)
+42 ;;=Name:^^^1^1^1^7^30^1
+43 ;;^UTILITY(U,$J,358.5,123,0)
+44 ;;=SSN^148^4
+45 ;;^UTILITY(U,$J,358.5,123,2,0)
+46 ;;=^358.52^1^1
+47 ;;^UTILITY(U,$J,358.5,123,2,1,0)
+48 ;;=SSN:^^^39^1^1^44^15^1
+49 ;;^UTILITY(U,$J,358.5,124,0)
+50 ;;=Age^148^5
+51 ;;^UTILITY(U,$J,358.5,124,2,0)
+52 ;;=^358.52^2^2
+53 ;;^UTILITY(U,$J,358.5,124,2,1,0)
+54 ;;=DOB:^^^60^1^1^65^12^1
+55 ;;^UTILITY(U,$J,358.5,124,2,2,0)
+56 ;;=Age:^^^78^1^1^83^3^2
+57 ;;^UTILITY(U,$J,358.5,125,0)
+58 ;;=HEADER^153
+59 ;;^UTILITY(U,$J,358.5,125,2,0)
+60 ;;=^358.52^1^1
+61 ;;^UTILITY(U,$J,358.5,125,2,1,0)
+62 ;;=NATIONAL SPEECH^^^0^0
+63 ;;^UTILITY(U,$J,358.5,126,0)
+64 ;;=Patient name^154^3
+65 ;;^UTILITY(U,$J,358.5,126,2,0)
+66 ;;=^358.52^1^1
+67 ;;^UTILITY(U,$J,358.5,126,2,1,0)
+68 ;;=Name:^^^1^1^1^7^30^1
+69 ;;^UTILITY(U,$J,358.5,127,0)
+70 ;;=SSN^154^4
+71 ;;^UTILITY(U,$J,358.5,127,2,0)
+72 ;;=^358.52^1^1
+73 ;;^UTILITY(U,$J,358.5,127,2,1,0)
+74 ;;=SSN:^^^39^1^1^44^15^1
+75 ;;^UTILITY(U,$J,358.5,128,0)
+76 ;;=Age^154^5
+77 ;;^UTILITY(U,$J,358.5,128,2,0)
+78 ;;=^358.52^2^2
+79 ;;^UTILITY(U,$J,358.5,128,2,1,0)
+80 ;;=DOB:^^^60^1^1^65^12^1
+81 ;;^UTILITY(U,$J,358.5,128,2,2,0)
+82 ;;=Age:^^^78^1^1^83^3^2
+83 ;;^UTILITY(U,$J,358.5,129,0)
+84 ;;=HEADER^157
+85 ;;^UTILITY(U,$J,358.5,129,2,0)
+86 ;;=^358.52^1^1
+87 ;;^UTILITY(U,$J,358.5,129,2,1,0)
+88 ;;=NATIONAL TBI^^^0^0
+89 ;;^UTILITY(U,$J,358.5,130,0)
+90 ;;=Patient name^158^3
+91 ;;^UTILITY(U,$J,358.5,130,2,0)
+92 ;;=^358.52^1^1
+93 ;;^UTILITY(U,$J,358.5,130,2,1,0)
+94 ;;=Name:^^^1^1^1^7^30^1
+95 ;;^UTILITY(U,$J,358.5,131,0)
+96 ;;=SSN^158^4
+97 ;;^UTILITY(U,$J,358.5,131,2,0)
+98 ;;=^358.52^1^1
+99 ;;^UTILITY(U,$J,358.5,131,2,1,0)
+100 ;;=SSN:^^^39^1^1^44^15^1
+101 ;;^UTILITY(U,$J,358.5,132,0)
+102 ;;=Age^158^5
+103 ;;^UTILITY(U,$J,358.5,132,2,0)
+104 ;;=^358.52^2^2
+105 ;;^UTILITY(U,$J,358.5,132,2,1,0)
+106 ;;=DOB:^^^60^1^1^65^12^1
+107 ;;^UTILITY(U,$J,358.5,132,2,2,0)
+108 ;;=Age:^^^78^1^1^83^3^2
+109 ;;^UTILITY(U,$J,358.5,133,0)
+110 ;;=HEADER^162
+111 ;;^UTILITY(U,$J,358.5,133,2,0)
+112 ;;=^358.52^1^1
+113 ;;^UTILITY(U,$J,358.5,133,2,1,0)
+114 ;;=NATIONAL TELEDERM^^^0^0
+115 ;;^UTILITY(U,$J,358.5,134,0)
+116 ;;=Patient name^163^3
+117 ;;^UTILITY(U,$J,358.5,134,2,0)
+118 ;;=^358.52^1^1
+119 ;;^UTILITY(U,$J,358.5,134,2,1,0)
+120 ;;=Name:^^^1^1^1^7^30^1
+121 ;;^UTILITY(U,$J,358.5,135,0)
+122 ;;=SSN^163^4
+123 ;;^UTILITY(U,$J,358.5,135,2,0)
+124 ;;=^358.52^1^1
+125 ;;^UTILITY(U,$J,358.5,135,2,1,0)
+126 ;;=SSN:^^^39^1^1^44^15^1
+127 ;;^UTILITY(U,$J,358.5,136,0)
+128 ;;=Age^163^5
+129 ;;^UTILITY(U,$J,358.5,136,2,0)
+130 ;;=^358.52^2^2
+131 ;;^UTILITY(U,$J,358.5,136,2,1,0)
+132 ;;=DOB:^^^60^1^1^65^12^1
+133 ;;^UTILITY(U,$J,358.5,136,2,2,0)
+134 ;;=Age:^^^78^1^1^83^3^2
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