- 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,$J,358.5,160,2,2,0)
- ;;=Age:^^^78^1^1^83^3^2
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0FU 8242 printed Feb 18, 2025@23:14:14 Page 2
- IBDEI0FU ; ; 03-MAY-2022
- +1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 03, 2022
- +2 if 'DIFQR(358.5)
- QUIT
- FOR I=1:2
- SET X=$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
- +135 ;;^UTILITY(U,$J,358.5,137,0)
- +136 ;;=HEADER^166
- +137 ;;^UTILITY(U,$J,358.5,137,2,0)
- +138 ;;=^358.52^1^1
- +139 ;;^UTILITY(U,$J,358.5,137,2,1,0)
- +140 ;;=NATIONAL TELEHEALTH - PATIENT SITE^^^0^0
- +141 ;;^UTILITY(U,$J,358.5,138,0)
- +142 ;;=Patient name^167^3
- +143 ;;^UTILITY(U,$J,358.5,138,2,0)
- +144 ;;=^358.52^1^1
- +145 ;;^UTILITY(U,$J,358.5,138,2,1,0)
- +146 ;;=Name:^^^1^1^1^7^30^1
- +147 ;;^UTILITY(U,$J,358.5,139,0)
- +148 ;;=SSN^167^4
- +149 ;;^UTILITY(U,$J,358.5,139,2,0)
- +150 ;;=^358.52^1^1
- +151 ;;^UTILITY(U,$J,358.5,139,2,1,0)
- +152 ;;=SSN:^^^39^1^1^44^15^1
- +153 ;;^UTILITY(U,$J,358.5,140,0)
- +154 ;;=Age^167^5
- +155 ;;^UTILITY(U,$J,358.5,140,2,0)
- +156 ;;=^358.52^2^2
- +157 ;;^UTILITY(U,$J,358.5,140,2,1,0)
- +158 ;;=DOB:^^^60^1^1^65^12^1
- +159 ;;^UTILITY(U,$J,358.5,140,2,2,0)
- +160 ;;=Age:^^^78^1^1^83^3^2
- +161 ;;^UTILITY(U,$J,358.5,141,0)
- +162 ;;=HEADER^172
- +163 ;;^UTILITY(U,$J,358.5,141,2,0)
- +164 ;;=^358.52^1^1
- +165 ;;^UTILITY(U,$J,358.5,141,2,1,0)
- +166 ;;=NATIONAL TRANSPLANT^^^0^0
- +167 ;;^UTILITY(U,$J,358.5,142,0)
- +168 ;;=Patient name^173^3
- +169 ;;^UTILITY(U,$J,358.5,142,2,0)
- +170 ;;=^358.52^1^1
- +171 ;;^UTILITY(U,$J,358.5,142,2,1,0)
- +172 ;;=Name:^^^1^1^1^7^30^1
- +173 ;;^UTILITY(U,$J,358.5,143,0)
- +174 ;;=SSN^173^4
- +175 ;;^UTILITY(U,$J,358.5,143,2,0)
- +176 ;;=^358.52^1^1
- +177 ;;^UTILITY(U,$J,358.5,143,2,1,0)
- +178 ;;=SSN:^^^39^1^1^44^15^1
- +179 ;;^UTILITY(U,$J,358.5,144,0)
- +180 ;;=Age^173^5
- +181 ;;^UTILITY(U,$J,358.5,144,2,0)
- +182 ;;=^358.52^2^2
- +183 ;;^UTILITY(U,$J,358.5,144,2,1,0)
- +184 ;;=DOB:^^^60^1^1^65^12^1
- +185 ;;^UTILITY(U,$J,358.5,144,2,2,0)
- +186 ;;=Age:^^^78^1^1^83^3^2
- +187 ;;^UTILITY(U,$J,358.5,145,0)
- +188 ;;=HEADER^175
- +189 ;;^UTILITY(U,$J,358.5,145,2,0)
- +190 ;;=^358.52^1^1
- +191 ;;^UTILITY(U,$J,358.5,145,2,1,0)
- +192 ;;=NATIONAL URGENT CARE^^^0^0
- +193 ;;^UTILITY(U,$J,358.5,146,0)
- +194 ;;=Patient name^176^3
- +195 ;;^UTILITY(U,$J,358.5,146,2,0)
- +196 ;;=^358.52^1^1
- +197 ;;^UTILITY(U,$J,358.5,146,2,1,0)
- +198 ;;=Name:^^^1^1^1^7^30^1
- +199 ;;^UTILITY(U,$J,358.5,147,0)
- +200 ;;=SSN^176^4
- +201 ;;^UTILITY(U,$J,358.5,147,2,0)
- +202 ;;=^358.52^1^1
- +203 ;;^UTILITY(U,$J,358.5,147,2,1,0)
- +204 ;;=SSN:^^^39^1^1^44^15^1
- +205 ;;^UTILITY(U,$J,358.5,148,0)
- +206 ;;=Age^176^5
- +207 ;;^UTILITY(U,$J,358.5,148,2,0)
- +208 ;;=^358.52^2^2
- +209 ;;^UTILITY(U,$J,358.5,148,2,1,0)
- +210 ;;=DOB:^^^60^1^1^65^12^1
- +211 ;;^UTILITY(U,$J,358.5,148,2,2,0)
- +212 ;;=Age:^^^78^1^1^83^3^2
- +213 ;;^UTILITY(U,$J,358.5,149,0)
- +214 ;;=HEADER^180
- +215 ;;^UTILITY(U,$J,358.5,149,2,0)
- +216 ;;=^358.52^1^1
- +217 ;;^UTILITY(U,$J,358.5,149,2,1,0)
- +218 ;;=NATIONAL GATEWAY TO HEALTHY LIVING^^^0^0
- +219 ;;^UTILITY(U,$J,358.5,150,0)
- +220 ;;=Patient name^181^3
- +221 ;;^UTILITY(U,$J,358.5,150,2,0)
- +222 ;;=^358.52^1^1
- +223 ;;^UTILITY(U,$J,358.5,150,2,1,0)
- +224 ;;=Name:^^^1^1^1^7^30^1
- +225 ;;^UTILITY(U,$J,358.5,151,0)
- +226 ;;=SSN^181^4
- +227 ;;^UTILITY(U,$J,358.5,151,2,0)
- +228 ;;=^358.52^1^1
- +229 ;;^UTILITY(U,$J,358.5,151,2,1,0)
- +230 ;;=SSN:^^^39^1^1^44^15^1
- +231 ;;^UTILITY(U,$J,358.5,152,0)
- +232 ;;=Age^181^5
- +233 ;;^UTILITY(U,$J,358.5,152,2,0)
- +234 ;;=^358.52^2^2
- +235 ;;^UTILITY(U,$J,358.5,152,2,1,0)
- +236 ;;=DOB:^^^60^1^1^65^12^1
- +237 ;;^UTILITY(U,$J,358.5,152,2,2,0)
- +238 ;;=Age:^^^78^1^1^83^3^2
- +239 ;;^UTILITY(U,$J,358.5,153,0)
- +240 ;;=HEADER^184
- +241 ;;^UTILITY(U,$J,358.5,153,2,0)
- +242 ;;=^358.52^1^1
- +243 ;;^UTILITY(U,$J,358.5,153,2,1,0)
- +244 ;;=NATIONAL COVID-19 SUPPLEMENTAL FORM^^B^0^0
- +245 ;;^UTILITY(U,$J,358.5,154,0)
- +246 ;;=Patient name^185^3
- +247 ;;^UTILITY(U,$J,358.5,154,2,0)
- +248 ;;=^358.52^1^1
- +249 ;;^UTILITY(U,$J,358.5,154,2,1,0)
- +250 ;;=Name:^^^1^1^1^7^30^1
- +251 ;;^UTILITY(U,$J,358.5,155,0)
- +252 ;;=SSN^185^4
- +253 ;;^UTILITY(U,$J,358.5,155,2,0)
- +254 ;;=^358.52^1^1
- +255 ;;^UTILITY(U,$J,358.5,155,2,1,0)
- +256 ;;=SSN:^^^39^1^1^44^15^1
- +257 ;;^UTILITY(U,$J,358.5,156,0)
- +258 ;;=Age^185^5
- +259 ;;^UTILITY(U,$J,358.5,156,2,0)
- +260 ;;=^358.52^2^2
- +261 ;;^UTILITY(U,$J,358.5,156,2,1,0)
- +262 ;;=DOB:^^^60^1^1^65^12^1
- +263 ;;^UTILITY(U,$J,358.5,156,2,2,0)
- +264 ;;=Age:^^^78^1^1^83^3^2
- +265 ;;^UTILITY(U,$J,358.5,157,0)
- +266 ;;=HEADER^187
- +267 ;;^UTILITY(U,$J,358.5,157,2,0)
- +268 ;;=^358.52^1^1
- +269 ;;^UTILITY(U,$J,358.5,157,2,1,0)
- +270 ;;=NATIONAL TELEPHONE COVID-19 SUPPLEMENTAL FORM^^^0^0
- +271 ;;^UTILITY(U,$J,358.5,158,0)
- +272 ;;=Patient name^188^3
- +273 ;;^UTILITY(U,$J,358.5,158,2,0)
- +274 ;;=^358.52^1^1
- +275 ;;^UTILITY(U,$J,358.5,158,2,1,0)
- +276 ;;=Name:^^^1^1^1^7^30^1
- +277 ;;^UTILITY(U,$J,358.5,159,0)
- +278 ;;=SSN^188^4
- +279 ;;^UTILITY(U,$J,358.5,159,2,0)
- +280 ;;=^358.52^1^1
- +281 ;;^UTILITY(U,$J,358.5,159,2,1,0)
- +282 ;;=SSN:^^^39^1^1^44^15^1
- +283 ;;^UTILITY(U,$J,358.5,160,0)
- +284 ;;=Age^188^5
- +285 ;;^UTILITY(U,$J,358.5,160,2,0)
- +286 ;;=^358.52^2^2
- +287 ;;^UTILITY(U,$J,358.5,160,2,1,0)
- +288 ;;=DOB:^^^60^1^1^65^12^1
- +289 ;;^UTILITY(U,$J,358.5,160,2,2,0)
- +290 ;;=Age:^^^78^1^1^83^3^2