IBDEI0SW ; ; 01-FEB-2022
;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
Q:'DIFQR(358.3) 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,$J,358.3,13002,1,4,0)
;;=4^H53.121
;;^UTILITY(U,$J,358.3,13002,2)
;;=^5006309
;;^UTILITY(U,$J,358.3,13003,0)
;;=H53.122^^51^626^19
;;^UTILITY(U,$J,358.3,13003,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13003,1,3,0)
;;=3^Transient Vision Loss,Left Eye
;;^UTILITY(U,$J,358.3,13003,1,4,0)
;;=4^H53.122
;;^UTILITY(U,$J,358.3,13003,2)
;;=^5006310
;;^UTILITY(U,$J,358.3,13004,0)
;;=H53.123^^51^626^18
;;^UTILITY(U,$J,358.3,13004,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13004,1,3,0)
;;=3^Transient Vision Loss,Bilateral
;;^UTILITY(U,$J,358.3,13004,1,4,0)
;;=4^H53.123
;;^UTILITY(U,$J,358.3,13004,2)
;;=^5006311
;;^UTILITY(U,$J,358.3,13005,0)
;;=H53.141^^51^626^23
;;^UTILITY(U,$J,358.3,13005,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13005,1,3,0)
;;=3^Visual Discomfort,Right Eye
;;^UTILITY(U,$J,358.3,13005,1,4,0)
;;=4^H53.141
;;^UTILITY(U,$J,358.3,13005,2)
;;=^5006317
;;^UTILITY(U,$J,358.3,13006,0)
;;=H53.142^^51^626^22
;;^UTILITY(U,$J,358.3,13006,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13006,1,3,0)
;;=3^Visual Discomfort,Left Eye
;;^UTILITY(U,$J,358.3,13006,1,4,0)
;;=4^H53.142
;;^UTILITY(U,$J,358.3,13006,2)
;;=^5006318
;;^UTILITY(U,$J,358.3,13007,0)
;;=H53.143^^51^626^21
;;^UTILITY(U,$J,358.3,13007,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13007,1,3,0)
;;=3^Visual Discomfort,Bilateral
;;^UTILITY(U,$J,358.3,13007,1,4,0)
;;=4^H53.143
;;^UTILITY(U,$J,358.3,13007,2)
;;=^5006319
;;^UTILITY(U,$J,358.3,13008,0)
;;=H53.15^^51^626^24
;;^UTILITY(U,$J,358.3,13008,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13008,1,3,0)
;;=3^Visual Distortions of Shape & Size
;;^UTILITY(U,$J,358.3,13008,1,4,0)
;;=4^H53.15
;;^UTILITY(U,$J,358.3,13008,2)
;;=^268836
;;^UTILITY(U,$J,358.3,13009,0)
;;=H53.40^^51^626^25
;;^UTILITY(U,$J,358.3,13009,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13009,1,3,0)
;;=3^Visual Field Defects,Unspec
;;^UTILITY(U,$J,358.3,13009,1,4,0)
;;=4^H53.40
;;^UTILITY(U,$J,358.3,13009,2)
;;=^5006324
;;^UTILITY(U,$J,358.3,13010,0)
;;=H47.9^^51^626^28
;;^UTILITY(U,$J,358.3,13010,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13010,1,3,0)
;;=3^Visual Pathway Disorder,Unspec
;;^UTILITY(U,$J,358.3,13010,1,4,0)
;;=4^H47.9
;;^UTILITY(U,$J,358.3,13010,2)
;;=^5006178
;;^UTILITY(U,$J,358.3,13011,0)
;;=Z90.01^^51^626^1
;;^UTILITY(U,$J,358.3,13011,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13011,1,3,0)
;;=3^Acquired Absence of Eye
;;^UTILITY(U,$J,358.3,13011,1,4,0)
;;=4^Z90.01
;;^UTILITY(U,$J,358.3,13011,2)
;;=^322068
;;^UTILITY(U,$J,358.3,13012,0)
;;=T85.79XA^^51^626^26
;;^UTILITY(U,$J,358.3,13012,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13012,1,3,0)
;;=3^Infect/Inflm Reaction d/t Internal Prosth Device/Impl
;;^UTILITY(U,$J,358.3,13012,1,4,0)
;;=4^T85.79XA
;;^UTILITY(U,$J,358.3,13012,2)
;;=^5055676
;;^UTILITY(U,$J,358.3,13013,0)
;;=T85.398A^^51^626^27
;;^UTILITY(U,$J,358.3,13013,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13013,1,3,0)
;;=3^Mech Compl of Ocular Prosth Device/Impl/Graft
;;^UTILITY(U,$J,358.3,13013,1,4,0)
;;=4^T85.398A
;;^UTILITY(U,$J,358.3,13013,2)
;;=^5055559
;;^UTILITY(U,$J,358.3,13014,0)
;;=Z97.0^^51^626^2
;;^UTILITY(U,$J,358.3,13014,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,13014,1,3,0)
;;=3^Presence of Artificial Eye
;;^UTILITY(U,$J,358.3,13014,1,4,0)
;;=4^Z97.0
;;^UTILITY(U,$J,358.3,13014,2)
;;=^5063720
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0SW 3780 printed Sep 23, 2025@19:31:07 Page 2
IBDEI0SW ; ; 01-FEB-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
+2 if 'DIFQR(358.3)
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,358.3,13002,1,4,0)
+2 ;;=4^H53.121
+3 ;;^UTILITY(U,$J,358.3,13002,2)
+4 ;;=^5006309
+5 ;;^UTILITY(U,$J,358.3,13003,0)
+6 ;;=H53.122^^51^626^19
+7 ;;^UTILITY(U,$J,358.3,13003,1,0)
+8 ;;=^358.31IA^4^2
+9 ;;^UTILITY(U,$J,358.3,13003,1,3,0)
+10 ;;=3^Transient Vision Loss,Left Eye
+11 ;;^UTILITY(U,$J,358.3,13003,1,4,0)
+12 ;;=4^H53.122
+13 ;;^UTILITY(U,$J,358.3,13003,2)
+14 ;;=^5006310
+15 ;;^UTILITY(U,$J,358.3,13004,0)
+16 ;;=H53.123^^51^626^18
+17 ;;^UTILITY(U,$J,358.3,13004,1,0)
+18 ;;=^358.31IA^4^2
+19 ;;^UTILITY(U,$J,358.3,13004,1,3,0)
+20 ;;=3^Transient Vision Loss,Bilateral
+21 ;;^UTILITY(U,$J,358.3,13004,1,4,0)
+22 ;;=4^H53.123
+23 ;;^UTILITY(U,$J,358.3,13004,2)
+24 ;;=^5006311
+25 ;;^UTILITY(U,$J,358.3,13005,0)
+26 ;;=H53.141^^51^626^23
+27 ;;^UTILITY(U,$J,358.3,13005,1,0)
+28 ;;=^358.31IA^4^2
+29 ;;^UTILITY(U,$J,358.3,13005,1,3,0)
+30 ;;=3^Visual Discomfort,Right Eye
+31 ;;^UTILITY(U,$J,358.3,13005,1,4,0)
+32 ;;=4^H53.141
+33 ;;^UTILITY(U,$J,358.3,13005,2)
+34 ;;=^5006317
+35 ;;^UTILITY(U,$J,358.3,13006,0)
+36 ;;=H53.142^^51^626^22
+37 ;;^UTILITY(U,$J,358.3,13006,1,0)
+38 ;;=^358.31IA^4^2
+39 ;;^UTILITY(U,$J,358.3,13006,1,3,0)
+40 ;;=3^Visual Discomfort,Left Eye
+41 ;;^UTILITY(U,$J,358.3,13006,1,4,0)
+42 ;;=4^H53.142
+43 ;;^UTILITY(U,$J,358.3,13006,2)
+44 ;;=^5006318
+45 ;;^UTILITY(U,$J,358.3,13007,0)
+46 ;;=H53.143^^51^626^21
+47 ;;^UTILITY(U,$J,358.3,13007,1,0)
+48 ;;=^358.31IA^4^2
+49 ;;^UTILITY(U,$J,358.3,13007,1,3,0)
+50 ;;=3^Visual Discomfort,Bilateral
+51 ;;^UTILITY(U,$J,358.3,13007,1,4,0)
+52 ;;=4^H53.143
+53 ;;^UTILITY(U,$J,358.3,13007,2)
+54 ;;=^5006319
+55 ;;^UTILITY(U,$J,358.3,13008,0)
+56 ;;=H53.15^^51^626^24
+57 ;;^UTILITY(U,$J,358.3,13008,1,0)
+58 ;;=^358.31IA^4^2
+59 ;;^UTILITY(U,$J,358.3,13008,1,3,0)
+60 ;;=3^Visual Distortions of Shape & Size
+61 ;;^UTILITY(U,$J,358.3,13008,1,4,0)
+62 ;;=4^H53.15
+63 ;;^UTILITY(U,$J,358.3,13008,2)
+64 ;;=^268836
+65 ;;^UTILITY(U,$J,358.3,13009,0)
+66 ;;=H53.40^^51^626^25
+67 ;;^UTILITY(U,$J,358.3,13009,1,0)
+68 ;;=^358.31IA^4^2
+69 ;;^UTILITY(U,$J,358.3,13009,1,3,0)
+70 ;;=3^Visual Field Defects,Unspec
+71 ;;^UTILITY(U,$J,358.3,13009,1,4,0)
+72 ;;=4^H53.40
+73 ;;^UTILITY(U,$J,358.3,13009,2)
+74 ;;=^5006324
+75 ;;^UTILITY(U,$J,358.3,13010,0)
+76 ;;=H47.9^^51^626^28
+77 ;;^UTILITY(U,$J,358.3,13010,1,0)
+78 ;;=^358.31IA^4^2
+79 ;;^UTILITY(U,$J,358.3,13010,1,3,0)
+80 ;;=3^Visual Pathway Disorder,Unspec
+81 ;;^UTILITY(U,$J,358.3,13010,1,4,0)
+82 ;;=4^H47.9
+83 ;;^UTILITY(U,$J,358.3,13010,2)
+84 ;;=^5006178
+85 ;;^UTILITY(U,$J,358.3,13011,0)
+86 ;;=Z90.01^^51^626^1
+87 ;;^UTILITY(U,$J,358.3,13011,1,0)
+88 ;;=^358.31IA^4^2
+89 ;;^UTILITY(U,$J,358.3,13011,1,3,0)
+90 ;;=3^Acquired Absence of Eye
+91 ;;^UTILITY(U,$J,358.3,13011,1,4,0)
+92 ;;=4^Z90.01
+93 ;;^UTILITY(U,$J,358.3,13011,2)
+94 ;;=^322068
+95 ;;^UTILITY(U,$J,358.3,13012,0)
+96 ;;=T85.79XA^^51^626^26
+97 ;;^UTILITY(U,$J,358.3,13012,1,0)
+98 ;;=^358.31IA^4^2
+99 ;;^UTILITY(U,$J,358.3,13012,1,3,0)
+100 ;;=3^Infect/Inflm Reaction d/t Internal Prosth Device/Impl
+101 ;;^UTILITY(U,$J,358.3,13012,1,4,0)
+102 ;;=4^T85.79XA
+103 ;;^UTILITY(U,$J,358.3,13012,2)
+104 ;;=^5055676
+105 ;;^UTILITY(U,$J,358.3,13013,0)
+106 ;;=T85.398A^^51^626^27
+107 ;;^UTILITY(U,$J,358.3,13013,1,0)
+108 ;;=^358.31IA^4^2
+109 ;;^UTILITY(U,$J,358.3,13013,1,3,0)
+110 ;;=3^Mech Compl of Ocular Prosth Device/Impl/Graft
+111 ;;^UTILITY(U,$J,358.3,13013,1,4,0)
+112 ;;=4^T85.398A
+113 ;;^UTILITY(U,$J,358.3,13013,2)
+114 ;;=^5055559
+115 ;;^UTILITY(U,$J,358.3,13014,0)
+116 ;;=Z97.0^^51^626^2
+117 ;;^UTILITY(U,$J,358.3,13014,1,0)
+118 ;;=^358.31IA^4^2
+119 ;;^UTILITY(U,$J,358.3,13014,1,3,0)
+120 ;;=3^Presence of Artificial Eye
+121 ;;^UTILITY(U,$J,358.3,13014,1,4,0)
+122 ;;=4^Z97.0
+123 ;;^UTILITY(U,$J,358.3,13014,2)
+124 ;;=^5063720
